四川省二、三级医院科技能力比较分析

Comparative Analysis of Hospital Technological Capabilities Between Grade Two and Grade Three Hospitals in Sichuan Province

[目的]对四川省二、三级医院间的科技能力进行比较。[方法]采用分层随机抽样的方法抽取54家医院(其中三级医院12家、二级医院42家)进行问卷调查。根据已经建立的医院科技能力评价指标体系,以功效系数法为基础,运用线性加权法综合评价被调查医院的科技能力。[结果]三级甲等医院科技能力评分明显高于三级乙等、二级甲等和二级乙等医院(P<0.05)。二级甲等医院与二级乙等医院之间的科技综合能力评分无统计学差异(P>0.05)。在科技投入、科技管理及活动方面,三级甲等医院与三级乙等医院之间无统计学差异;二级甲等医院与二级乙等医院之间也无统计学差异(P>0.05)。但科技产出方面,三级甲等医院评分明显高于三级乙等医院的评分(P<0.05);三级乙等医院的科技产出与二级甲等、二级乙等医院间无统计学差异(P>0.05)。[结论]三级甲等医院与三级乙等医院在科技投入方面无差异,但在科技产出方面三级甲等医院却明显高于三级乙等医院。三级乙等医院应加强科研产出的能力,带动医院的临床发展。

[Purpose] To investigate the hospital technological capabilities between grade two and grade three hospitals in Sichuan province.[Methods] Fifty-four hospital（12,grade two;42,grade three hospitals） in Sichuan province was drawn-off by means of stratified random sampling and underwent questionnaires. The hospital technological capabilities were evaluated by the linear weighted technique and efficacy coefficient method based on the evaluation index system. [Results] General evaluation of hospital technological capabilities in A level in grade three hospital was higher than that in B level in grade three hospital,and A or B level in the grade two hospital（P0.05）. The difference about general evaluation of A or B level in grade two hospital was no significance（P0.05）. In the aspect of sci-tech input,sci-tech management and sci-tech output,no difference was showed between the A level and B level in grade three hospital or in the grade two hospital（P0.05）. In the sci-tech output aspect,the evaluation scores of A level in the grade three hospital was significantly higher than that in B level in the grade three hospital,A or B level in the grade two hospital（P0.05）. But the evaluation scores of B level in the grade three hospital was no difference compared to those of A or B level in the grade two hospital（P0.05）. [Conclusions] The sci-tech input between the A level and B level in grade three hospital is no significant difference,but the sci-output of A level in grade three hospital is higher than that in B level in grade three hospital. So B level in grade three hospital should improve capabilities of sci-output in order to develop the capabilities of hospitals.