基于结构-过程-结果的某三级甲等医院药学绩效评价指标体系构建  

Construction of Pharmacy Department Performance Evaluation Index System Based on"Structure-Process-Outcome"in a Tertiary Hospital

作　　者：朱晓飞 陈晴 卢芳[3] Zhu Xiaofei;Chen Qing;Lu Fang(Graduate Student Second Brigade,Naval Medical University,Shanghai 200433,China;Department of Military Health Service Management,Faculty of Military Health Service,Naval Medical University,Shanghai 200433,China;Department of Pharmacy,The 901th Hospital of the Joint Logistics Support Force of People's Liberation Army,Hefei 230031,China)

机构地区：[1]海军军医大学研究生二大队,上海200433 [2]海军军医大学卫生勤务学系军队卫生事业管理学教研室,上海200433 [3]中国人民解放军联勤保障部队第901医院药剂科,合肥230031

出　　处：《成都医学院学报》2025年第1期144-148,共5页Journal of Chengdu Medical College

基　　金：国家社会科学基金重点项目(No:22AGL034)。

摘　　要：目的构建一套基于结构-过程-结果(SPO)的药学绩效评价指标体系。方法2023年2-4月选取某三级甲等医院药学部90名员工作为研究对象,发放调查问卷收集员工对现行药学部绩效考核内容、考核流程、考核结果和考核反馈4个方面的评价,采用面对面半结构式访谈法了解当前科室绩效考核工作存在的问题、管理上的难点及期望的改进方向等。通过整理调查问卷和访谈记录分析该院药学部的绩效管理现状。以SPO三维质量结构模型为理论框架,通过文献检索与德尔菲法结合确定评价指标,完成绩效评价指标体系的构建。结果专家组问卷咨询的权威系数为0.825,两轮专家咨询的协调系数分别为0.235、0.516,专家组具有较好的权威性和意见一致性(P<0.05)。最终建立包括3个一级指标、7个二级指标和41个三级指标的药学绩效评价指标体系。结论基于SPO的药学绩效评价指标体系具有科学性、系统性和实用性,可提升考核的质量与效率,助力医院药学高质量发展。Objective To construct a pharmaceutical performance evaluation index system based on structure-process-outcome(SPO).Methods From February to April 2023,90 respondents from the pharmacy department of a tertiary first-class hospital were selected as the study subjects.A questionnaire survey was conducted for employees'comment on the content,process,results,and feedback of the current performance evaluation in the pharmacy department.And face-to-face semi-structured interviews were carried out for the problems,management difficulties,and expected improvement directions of the current performance evaluation.The survey results and interview records were analyzed for the current state of performance management in the pharmacy department of the hospital.Based on the theoretical framework of the SPO three-dimensional quality structure model,the evaluation indicators were determined through the combination of literature retrieval and Delphi method,and the indicator system was constructed.Results The expert authority coefficient was 0.825,and the coordination coefficient of the two rounds of expert consultation was 0.235 and 0.516,respectively,indicating good authority and opinion consistency of the experts(P<0.05).Finally,a pharmaceutical performance evaluation system including three primary indicators,seven secondary indicators and 41 tertiary indicators was established.Conclusion The pharmaceutical performance evaluation index system based on SPO is scientific,systematic,and practical,which improves the quality and effectiveness of assessment and helps the high-quality development of hospital pharmacy.

关 键 词：药学 绩效评价 指标体系 结构-过程-结果 

分 类 号：R95[医药卫生—药学]