公立医院公益性评价指标体系构建与实际应用

Building and application of the public welfare evaluation index system for public hospitals

建立系统的公立医院公益性评价指标体系，是科学评价公益性、促使公立医院强化其公益性的关键环节，并能为政府制定宏观卫生政策提供参考。通过两轮Delphi专家咨询筛选指标，并采用变异系数法确定指标权重，初步构建了包括8个一级指标和20个二级指标的公立医院公益性评价指标体系。将评价指标体系实际运用于2所公立医院，结果表明这2所医院的公益性指标在2008年至2010年间大体上呈逐年提高的趋势。

Building a systematic public welfare evaluation index system for public hospitals is key to scientific evaluation of the public welfare positioning of public hospitals and enhancing their public benefit orientation, along with references for government decision making on macro health policies. The indexes were screened and pinpointed in two rounds of Delphi expert consultations, and index weights were determined with the variation coefficient method, initially building a public welfare performance evaluation index system for such hospitals, including eight class-1 indexes and 20 class-2 indexes. Outcomes of the system prove that the public welfare performance indexes of the two hospitals evaluated rise year by year from 2008 to 2010.