山东省东营市公立医院改革成效综合评价

Evaluation of Healthcare Reform Performance of Public Hospitals in Dongying City,Shandong Province

目的:以山东省东营市公立医院为例,对我国公立医院改革成效进行综合评价,并提出建议。方法:在公立医院改革成效评价指标体系基础上,采用德尔菲法计算各指标权重。基于模糊综合评价理论,通过问卷调查的形式获取各指标的隶属度,对公立医院改革成效评价结果进行计算。结果:东营市公立医院改革有较好整体成效的可能性占35.75%,整体成效不明显的可能性高于50%,患者满意度、管理水平方面成效较好的可能性分别达到48.66%、40.48%,财务状况、人才培养等方面无成效的可能性均高于80%。结论:东营市公立医院改革的整体成效有所体现,但整体水平仍有待提高。在患者满意度、医疗质量、医疗效率等方面取得了成效,在财务状况、人才培养等方面成效仍不理想。基础设施建设、人才培养和引进、现代公立医院管理体制的完善等是后续改革的重要内容。

Objective： Taking Dongying of Shandong province as an example, the healthcare reform performance in public hospitals was e- valuated and some suggestions about further reform were put forward. Methods： On the basis of the evaluation indices, Delphi method was taken to calculate the weights of each index. Then the theory of fuzzy comprehensive evaluation in which values of indices were acquired by questionnaires was used to evaluate the performance of the new healthcare reform in public hospitals. Results： Probability of good performance in Dongying public hospitals reform reached 35.75%, however the probability of bad performance was still over 50%. Probability of good performance reached 48.66% and 40.48% individually in patient satisfaction level, managing level. Probabilities of no performance were both over 80% in financial state and personnel training. Conclusion： Performance of Dongying public hospitals reform had been embodied on the whole, but there was much room to improve. Some progresses had been made in patience satisfaction level, medical quality and medical efficiency, the financial state and personnel training were still unsatisfactory. Some countermeasures in infrastructure construction, talent introduction, staff cultivation and modern management system perfection should be taken to enhance the reform level successively.