区域对口支援医院帮扶效果评价体系的构建

Construction of evaluation system of the assistance effect in regional counterpart support hospitals

目的构建区域对口支援医院帮扶效果评价体系,为卫生行政部门对口支援政策制定与管理提供可行性建议。方法采用文献分析法、德尔菲法、层次分析法(AHP)建立区域对口支援医院帮扶效果评价体系,并对贵州省黔南州、毕节市4家受援医院的帮扶效果实施评价。结果建立了客观实用的区域对口支援医院帮扶效果评价体系,包括4项一级指标,权重从大到小分别为质量安全(0.2597)、持续发展(0.2597)、医疗服务(0.2468)、社会效益(0.2338),10项二级指标、31项三级指标。应用该评价体系对贵州省黔南州、毕节市4家受援医院的帮扶效果进行评定,得分分别为87.01、73.13、65.46、73.64分,同比2019年均有上升,上升幅度为0.45~16.79分。结论本研究构建的区域对口支援医院帮扶效果评价体系从医疗质量、服务等多个维度综合评价帮扶成效,指标具有可操作性、可行性,可有效地对帮扶效果进行直观、定量评价。

Objective To construct an evaluation system of the assistance effect of regional counterpart support hospitals,and to provide feasible suggestions for health administrative departments in the formulation and management of counterpart support policies.Methods The literature analysis,Delphi method and analytic hierarchy process(AHP)were used to establish the assistance effect evaluation system of regional counterpart support hospitals,and the effects of the four aided hospitals in Qiannan Prefecture and Bijie City,Guizhou Province were evaluated.Results An objective and practical evaluation system for the assistance effect of regional counterpart support hospitals was established,including four first-class indicators,with weights from large to small,namely the quality safety(0.2597),sustainable development(0.2597),medical services(0.2468),social benefits(0.2338).And ten second-class indicators and 31 third-class indicators were also included in the evaluation system.The evaluation system was applied to evaluate the assistance effect of the four aided hospitals in Qiannan Prefecture and Bijie City,Guizhou Province,with the scores of 87.01,73.13,65.46 and 73.64 points,respectively.The scores increased year-on-year in 2019,with an increase range of 0.45-16.79 points.Conclusion The assistance effect evaluation system of the regional counterpart support hospitals constructed in this study comprehensively evaluates the assistance effect from multiple dimensions such as medical quality and service.The indicators are operable and feasible,and can effectively evaluate the assistance effect intuitively and quantitatively.