基于德尔菲法构建年薪制下的公立医院医师评价指标体系  

Construction of a physician evaluation index system for public hospitals under the annual salary system based on the delphi method

作　　者：黎欢 杜剑亮 苏滔凤 LI Huan;DU Jianliang;SU Taofeng(The Seventh Affiliated Hospital of Sun Yat-sen University,Shenzhen 518107,China)

机构地区：[1]中山大学附属第七医院(深圳),广东深圳518107

出　　处：《现代医院》2025年第4期575-578,共4页Modern Hospitals

基　　金：广东省卫生经济学会科研基金项目(2023-WJMF-54)。

摘　　要：目的为充分调动临床医师的工作积极性,探索构建年薪制背景下三级公立医院绩效考核医师评价指标的构建体系。方法本研究采用文献研究法,同时系统梳理相关政策文件及研究成果,初步构建评价指标池并设置专家咨询问卷,遴选相关领域专家,开展两轮德尔菲法咨询,并运用统计学方法对专家咨询结果进行分析,进一步完善指标体系。最终,采用层次分析法(AHP)确定各层级指标权重系数,构建出合理的评价指标体系。结果根据专家意见,通过两轮专家咨询最终确定了构建了年薪制下的公立医院医师评价指标体系,并通过层次分析法得出指标体系权重,共5个一级指标,其中工作量(0.246)、工作质量与安全(0.277)、工作效率(0.176)、医德医风与综合素质评价(0.176)、科教能力(0.125),21个二级指标。且各个指标权重的一致性检验CR值均小于0.01。结论构建年薪制背景下三级公立医院绩效考核医师评价指标体系,紧密贴合当前医疗体制改革的潮流,为实行年薪制医院提供了一个科学、有效的医师评价工具。Objective In order to fully mobilize the enthusiasm of clinical physicians and explore the construction of a performance evaluation physician index system in tertiary public hospitals under the background of the annual salary system.Methods This study used literature research method and systematically reviewed relevant policy documents and research results,initially constructed an index pool and set up a questionnaire for expert consultation.Relevant experts were selected to conduct two rounds of Delphi consultation,and statistical methods were used to analyze the results of expert consultation and further improve the index system.Finally,the weight coefficients of each level of indicators were determined using the analytic hierarchy process(AHP)to construct a reasonable index system.Results Based on expert opinions,the index system for physician evaluation under the annual salary system in public hospitals was finally constructed through two rounds of expert consultation.The index weights were obtained by using the analytic hierarchy process,with five primary indicators(0.246 for workload,0.277 for work quality and safety,0.176 for work efficiency,0.176 for medical ethics and comprehensive quality appraisal,and 0.125 for scientific and educational capabilities)and 21 secondary indicators.The consistency test of the weights of each indicator had a CR value less than 0.01.Conclusion The construction of a physician evaluation index system for public hospitals under the annual salary system is closely in line with the current trend of medical system reform and provides a scientific and effective physician evaluation tool for hospitals with the annual salary system.

关 键 词：年薪制 医师评价 评价指标体系 

分 类 号：R197.323[医药卫生—卫生事业管理]