县级公立医院执业医师服务能力评价指标研究

Research on the evaluation index of medical practitioners＇ competency of county-level publichospitals

目的构建县级公立医院执业医师服务能力评价指标体系。方法基于胜任力理论和职业化素质的冰山模型，经过47名专家的两轮咨询，采用频数、均数、肯德尔和谐系数、因子分析等统计学方法，确定执业医师服务能力的各项评价指标和权重。以陕西省3所县级公立医院为例，进行服务能力评价的实例验证。结果县级公立医院执业医师服务能力评价指标包括4个一级指标和16个二级指标。4个一级指标分别为诊断能力、治疗能力、沟通能力、自我发展能力，权重分别为0．3、0．3、0．2、0．2。结论县级公立医院应从诊断能力、治疗能力、沟通能力、自我发展能力人手，加强对执业医师服务能力的培养，不断提升医院综合服务水平。

Objective To build an evaluation index system of medical practitioners＇ competency for county-level public hospitals. Methods By means of the Iceberg Model based on competence and professionalism, and following two rounds of consultations of 47 experts, the evaluation indexes and weights of medical practitioners＇ competency were determined using SPSS frequency, mean, Kendall harmony coefficient and factor analysis. Three county-level public hospitals in Shaanxi province were selected for example verification of service competency. Results The evaluation index system of county-level public hospitals included 4 level-1 indexes and 16 level-2 indexes. The 4 level-1 indexes were diagnosis competency, treatment competency, communication competency and self-development competency. The weights of these indexes were 0.3,0.3,0.2 and 0.2 respectively. Conclusions Such hospitals should start with these competencies to strengthen the cultivation of medical practitioners＇ competency and constantly improve their comprehensive service level.