医院—社区专科协作联盟绩效评价指标体系构建研究  

Research on Building a Performance Evaluation Index System for the Specialty Cooperation Alliance in Hospital-Community

作　　者：王誉颖 张飞 赵冬宝 范轶 许全成 陈丽金[1] 黄奕祥[1] Wang Yuying;Zhang Fei;Zhao Dongbao(School of Public Health,Sun Yat-sen University,Guangzhou,Guangdong,510080,China;不详)

机构地区：[1]中山大学公共卫生学院,广东广州510080 [2]深圳市南山区医疗集团总部,广东深圳518055

出　　处：《中国医院管理》2025年第5期59-62,共4页Chinese Hospital Management

基　　金：国家自然科学基金项目(72474235)。

摘　　要：目的构建医院—社区专科协作联盟绩效评价指标体系,以科学评估专科协作联盟的建设效果。方法搜索专科联盟建设相关文献,梳理国家和地方政策文件,参照“结构-过程-结果”模型框架构建专科协作联盟评估指标库,通过专题小组讨论形成指标体系专家函询表,开展两轮德尔菲专家咨询,确定评价指标体系,同步应用层次分析法确定各指标权重系数。结果两轮咨询问卷的有效回收率分别为84.62%和100.00%,专家积极度高,专家平均权威程度为0.864,各级指标的重要性、可操作性、敏感性Kendall’s W系数及χ^(2)检验P值均小于0.05。最终确立了涵盖9个一级指标、25个二级指标的评价指标体系。结论构建的医院—社区多专科协作联盟绩效评价指标体系具有科学性和较好的可靠性,经过实际应用,显示其可以作为医院—社区之间整合、连续和协同卫生健康服务提供效果的评估工具。Objective To construct the performance evaluation index system of specialist cooperation alliance in hospital-community in order to scientifically evaluate the effect of the construction of the specialist cooperation alliance.Methods By searching literature related to the construction of specialized league,sort out national and local policy documents,and the“structure-process-result”model was adopted to initially construct the index system.The expert letter consultation form of the indicator system was formed through the discussion of the special group,two rounds of Delphi expert consultation were carried out to determine the evaluation indicator system,and the weight coefficient of each indicator was determined by the simultaneous application of analytic hierarchy process.Results The effective recovery rates of the two rounds of questionnaire were 84.62%and 100.00%,respectively.The positive degree of experts was high,and the average authority degree of experts was 0.864.The importance,operability,sensitivity Kendall’s W coefficient andχ^(2)test value of all indexes were P<0.05.Finally,an evaluation index system covering 9 first-level indicators and 25 second-level indicators was established.Conclusion The constructed performance evaluation index is scientific and reliable.The practical application shows that it can be used as a tool to evaluate the effect of integrated,continuous and collaborative health service delivery in hospital-community.

关 键 词：专科协作联盟 医院 社区 绩效评价 指标体系 医联体 

分 类 号：R197.3[医药卫生—卫生事业管理]