基于医保总额预付制的天津市医院考核指标体系构建实证研究

Empirical Study on Construction of Evaluation Index System for Hospitals in Tianjin under the Global Budget of Medical Insurance

目的:构建医保总额预付制下的考核指标体系。方法:运用文献分析法、德尔菲法确定指标体系,运用层次分析法确定指标体系及权重。结果:构建了一套科学实用的基本医疗保险基金总额预付制考核指标体系,以患者为中心,包含医疗质量、工作量、个人负担率、满意度4个一级指标及延伸的15个二级指标和77个三级指标。结论:本研究构建的考核指标体系具有较好的可操作性,可为实施总额预付制下的医院绩效考核提供参考。

Objective： To establish the evaluation index system for hospitals under the global budget of medical insurance. Methods： After literature analysis,Delphi method was used to explore the evaluation index system,and the AHP was used to fix the weight of the index. Results：Our study established a scientific and practical poctient- oriented evaluation index system,which contained 4 one- class indexes including medical quality,work load,personal burden ratio and degree of satisfaction,15 two- class indexes and 77 three- class indexes. Conclusion： This evaluation index system has a high maneuverability which can provide a reference for the performance assessment of hospitals under the global budget of medical insurance.