新疆某三甲医院科研投入产出评价指标体系建立的研究

The study of the establishment of the evaluation system for the investment and produce of scientific research in a grade 3 and first--class hospital of Xinjiang

目的建立一套科学、客观、全面、定量与定性相结合，符合新疆地区三级甲等医院的科研投入一产出评价指标体系。方法通过对新疆某三甲医院近三年科研投入和科研产出资料的分析，运用Delphi—AHP法对来自不同领域的25名专家进行了三轮问卷咨询，综合专家意见进行筛选，确定了医院科研投入产出评价指标体系的指标、权重及指标标准，检验其逻辑一致性，并建立投入产出评价指标体系。结果三轮问卷有效回收率均≥85％，专家对评价指标的权威系数均〉0．70，专家意见的协调系数0．179—0．442，显著性检验P〈0．01，最终确立了5个一级指标，12个二级指标，28个三级指标所组成的三甲医院科研投入产出评价指标体系。结论本研究咨询结果可靠，指标体系符合行业规范和区域特点，要提高医院整个科研绩效水平，医院须加大科研投入，管理部门需结合科研投入一产出考核，优化资源配置，拓宽项目申报途径，争取经费投入，注重人才培养，形成科研梯队。

Objective To estabolish a scientific, objective, comprehensive and quantitative corn bined with qualitative evaluation indicator system for research input output effeciency, which is applied especially for grade 3 and firt-class hospital in Xinjiang Uygur aotunomous region. Methods We ana- lyzed the research input-output effeciency of one hospital. We performed three time questionaires to 25 experts who come from different fields, by using Delphi method and analytic hierarchy process. Based on screening estimation of experts, we determined the indicators, the weight and the standards of each indicator, the logic consistency of the above were tested, and the model of input-output ratio was set up. Results The response rate of three-time quesitonaires was above 85%. Authority coefficient of estimation indicators from experts was above 0.7. The kandall coefficient of eoneordace was between 0. 179 and 0. 442, P（0.01. We estabolished evaluation indicator system for research input--output effecieney composed of 5 grade I indicators, 12 grade Ⅱ indicators and 28 grade III indicators. Conclu- sions This study result is reliable, the index system conform to the industry standard and regional characteristics. In order to improve the hospital performance level, increaseing investment in scientific research should be needed. Combined with scientific research input - output, the management should take measures to optimize the allocation of resources, broaden the way of project application fighting for money, pay attention to personnel training arnd form a scientific research team