公立医院公益性评价指标体系构建的理论框架探讨

An exploration of theoretical framework on setting public welfare evaluation index system in public hospitals

目的:从理论框架角度,探讨构建公立医院公益性评价指标体系。方法:基于文献研究,按照"微观-中观宏观-可持续发展"和"内涵-外延-成效目标"的思路,采取关键业绩指标法构建评价指标体系,并用改良的DELPHI法对指标体系进行初步评价。结果:公立医院公益性指标体系包括医疗服务、社会服务和服务评价三个维度;除个别三级指标尚需要进一步认证和调整外,公立医院公益性评价指标体系基本上得到专家认可,预测精度较高且专家们协调程度较高。结论:公立医院公益性评价指标体系的理论框架,为推进公立医院公益性回归并取得共识,提供了可能的切入点和必要参考。

Objective： To set a public welfare evaluation index system in public hospitals from theoretical framework prospective. Methods： Based on literature research, it sets the evaluation index system by taking KPI method, according to the thought about “microcosmic-middle-macroscopic view-sustainable development” and “connotation-extension-effects and goals”, and the system is assessed using improved DELPHI method. Results： There are 3 dimensions in the public welfare evaluation system including medical services, social services and services assessment; the system is nearly completely agreed on except a few individual indicators which belong to III level index, got higher forecast precision, and it shows that the experts have better compatibility. Conclusion： The theoretical framework of public welfare evaluation system would be good for offering the probability of starting point and essential reference to improve public welfare return in quest of reaching a consensus in public hospitals.