公立医院党委书记业绩评价指标体系研究

Research on the performance evaluation index system for Party committee secretaries of public hospitals

目的在中共中央《关于加强公立医院党的建设工作的意见》指导下,构建公立医院体现党委全面领导职责的党委书记业绩评价指标体系。方法通过文献研究、政策学习和总结上海申康医院发展中心前期工作成效,构建公立医院党委书记业绩评价指标体系的框架结构;采用德尔菲法对138个指标在结果性、客观性、统计性、灵敏性、易得性、可量化、重要性和导向性8个维度进行评分,筛选出最终的指标并计算权重;对咨询专家的一般资料进行描述性统计分析,运用Cronbachα系数法和Pearson相关系数法分析指标的信度和效度。结果组织18位专家经过3轮德尔菲法调研,最终构建出涵盖4个一级指标,13个二级指标,25个三级指标的基于加强公立医院党建的党委书记业绩评价指标体系。运用新建指标体系对14家医院进行模拟评分,与第三方患者满意度调查结果呈正相关(r=0.897,P<0.01),并优于原指标体系。结论本研究构建的指标体系量化性、客观性更好,可操作性更强,在上海申康医院发展中心所属公立医院具有良好的信效度,可用于其党委书记业绩考核评估。

Objective Under the guidance of"Opinions on Strengthening Party Construction in Public Hospitals"enacted by the Central Committee of the Communist Party of China,the performance evaluation index system for Party-committee secretaries has been released to reflect the overall leadership responsibility of Party committees at public hospitals.Methods By means of literature review,policy learning and the preliminary work performance of Shanghai Hospital Development Center(SHDC),the framework of the target system was constructed.Three rounds of Delphi method were conducted to score 138 indicators based on eight aspects:result,objectivity,statistics,sensitivity,accessibility,quantifiability,importance and score-oriented.The final indicators were selected and statistically weighted.SPSS 20.0 software was used for descriptive statistical analysis,and Cronbachαevaluation coefficient method and Pearson correlation coefficient were also used to analyze the reliability and validity of indicators.Results Following three rounds of Delphi research,18 experts finally constructed a performance evaluation index system for Party committee secretaries that is composed of 4 level-1,13 level-2 and 25 level-3 indexes.The new index system was used to simulate the scores of 14 hospitals,which was positively correlated with the survey results of third-party patient satisfaction(r=0.897,P<0.01),and was better than the original index system.Conclusions The index system constructed in this study proves better quantitative objectivity and stronger operability.It has a good reliability and validity among the hospitals that belongs to SSHDC,and could be used for the evaluation of performance of Party-committee secretaries at public hospitals.