医疗机构信用评价指标体系研究回顾性分析

Retrospective analysis of researches on credibility evaluation index system of medical institutions

目的对医疗机构信用评价指标体系的维度和指标进行系统评价,为制定医疗机构信用评价指标体系提供参考。方法采用文献检索方法,对知网、万方数据库、维普数据库及PubMed、Web of Science进行检索,检索时限为建库时至2020年2月。纳入与医疗机构信用评价指标相关的文献和政府文件等。采用定性分析方法对资料进行提取及信息整理,对纳入的研究进行分类归纳和描述。结果有13篇涉及医疗机构信用评价指标体系的文献纳入本研究。文献显示,医疗机构信用评级指标体系共涉及57个维度;指标体系涉及467个指标,与医疗质量、运营管理、执业审查、医疗费用、综合评价相关的指标共有168个,各维度下选用频次≥3次的指标仅15个。结论目前文献对诚信执业、医疗质量、医疗费用相关的指标选用频次较高,但大部分指标的一致性较低,指标设置结构缺乏统一,指标类别划分不合理,政府文件指标与学者研究指标存在一定的差异,缺乏详细的指标说明。应强化医疗机构信用评价理论研究,理清医疗机构信用评价的政策背景,并进一步明晰指标说明。

Objective To systematically evaluate the dimensions and indexes of the credibility index system of medical institutions,for the purpose of providing reference for the development of the credibility evaluation index system of medical institutions.Methods Literatures and government documents on"the credibility of medical institution"and its index system were collected from PubMed,Web of Science,CNKI,WanFang Data and VIP database,by means of literature retrieval.These data so retrieved were then extracted,classified and summarized.The retrieval time ranged from the founding time of the database to February 2020.Results Thirteen literatures related to the credibility evaluation index system of medical institutions were included.The credibility rating index system of medical institutions involved a total of 57 dimensions.There were a total of 467 indexes,among which 168 were related to medical quality,operation management,practice review,medical expenses and comprehensive evaluation,while only 15 were selected for frequency≥3 times in each dimension.Conclusions According to the literatures,only the indexes of professional qualification,medical quality and medical expenses were highly adopted,while others lacked the consistency.The problems result from huge differences in the index setting structure,unreasonable classification of index categories,gaps between government indexes and scientific research indexes,and the lack of detailed index description.Therefore,it is necessary to strengthen theoretical research on the credibility evaluation of medical institutions,clarify the policy background of the credibility evaluation of medical institutions,and further explain the indexes in detail.