基于秩和比法的临床学科效益综合评价

Comprehensive evaluation of clinical discipline benefits based on rank sum ratio method

收集南京市某大型综合公立医院25个临床学科效益数据,主要选取工作数量、工作效率、治疗质量、社会效益、科研能力5个维度指标,运用秩和比法对学科效益进行综合评价。将学科效益分为高、中、低三档,方差分析显示差异具有统计学意义(F=45.126,P<0.001)。效益高的学科有10个,效益中等的学科有11个,效益低的学科有4个,基本与实际情况吻合。结合学科发展实际情况,对三个档次学科分别提出学科发展建议。提高科技创新力,推动学科内涵式发展;加强学科协同发展,促进学科效益共同提升;缩短学科发展差距,帮扶普通学科发展,全面提高学科效益,提高医院综合实力。

To collect 25 clinical subject benefit data from a large scale comprehensive public hospital in Nanjing,and to select five dimensions of work quantity,w ork efficiency,treatment quality,social benefit and scientific research ability,and to evaluate comprehensively the subject benefit using the rank sum ratio method.The subject benefit was divided into high,medium and low level.The analysis of variance(F=45.126,P<0.001)showed that the difference of 3 levels was statistically significant.There were 10 high subject benefits,11 moderate,and 4 low.This result was basically consistent with the actual situation.Based on the actual situation of the subject development,the disciplinary development proposals were suggested which would comprehensively improve the efficiency of disciplines,and improve the comprehensive strength of hospitals.