公立医院公益性测量指标体系研究

Study on Evaluation Index System of Public Welfare Nature of Public Hospitals

十七大和新医改都明确提出公立医院要回归公益性,在公立医院公益性缺失成为社会热点的背景下,必须积极探索公立医院改革,通过有效的制度设计和制度实施来引导公立医院回归公益性。目前我国已涌现出多种公立医院改革典型模式,但由于目前公立医院改革还处于探索阶段,缺少公益性测量指标,改革模式的公益性成效有待分析,因此本文在科学界定公立医院公益性内涵的基础上,参照《三级综合医院评审标准实施细则2011年版》,综合文献分析法和Delphi(德尔菲法)的结果,运用变异系数法确定指标的权重,合理构建公立医院公益性测量指标体系,为公立医院改革及政府制定宏观卫生政策提供参考依据。

The 17th National Congress of CPC and new reform of health system clearly raises the importance of regaining the nature of public welfare of public hospitals. Under the background that the absence of the public hospitals’ public welfare has become the hot issue, reform of public hospitals are urgently needed through an effective system design and system implementation to guide the public hospitals to return to the nature of public welfare. At present, China has emerged several typical modes of multiple public hospitals reform, however, the effectiveness still awaits analysis due to the exploratory stage of the current reform and the lack of evaluation index. So based on scientific connotation of the public welfare nature of public hospitals, referring to The assessment criteria of three comprehensive hospitals rules of the implementation of the 2011 edition, in light of the result of the comprehensive literature analysis and the Delphi method, this paper brings up the reasonable public welfare measure index system of public hospitals, using the coefficient of variation method to determine the index weight, so as to provided a reference to the reform of public hospitals and government macro-health policy.