基于序位进退法与秩和比法的中医医院科室综合评价研究

Research on comprehensive evaluation method in departments of TCM hospitals based on ordinal advance and retreat method and rank sum ratio method

目的依照现代中医医院医疗服务指标评价体系,探讨适用于中医医院科室间比较的评价方法。方法构建基于“国家三级公立中医医院绩效考核指标”的评价指标体系,将序位进退法与秩和比法相结合,对北京市某三甲中医医院各科室进行综合评价。结果全院35个科室分为3档:一档优秀科室包括治未病科、耳鼻喉科等6个科室,二档科室包括儿科、肿瘤科等24个科室,三档普通科室包括外二科、骨伤科等5个科室。结论研究构建的序位进退法与秩和比法相结合的综合评价指标体系,能够很好地对中医医院临床科室进行评价,清晰展示各科室的强弱项,为充分发挥绩效考核指挥棒作用提供支撑。

Objective To explore evaluation methods suitable for the comparison between departments in a TCM hospital,according to the evaluation system of modern TCM hospitals.Methods The evaluation index system was constructed based on"performance evaluation index of national tertiary public traditional Chinese medicine hospitals",and ordinal advance and retreat method and rank sum ratio method were combined to carry out comprehensive evaluation and ranking of various departments of a TCM Hospital in Beijing.Results The 35 departments in the hospital are divided into three categories:the first level excellent departments include 6 departments such as ZWBK and EBHK,the second level departments include 24 departments such as EK and ZLK,and the third level general departments include 5 departments such as WEK and GSK.Conclusion The comprehensive evaluation index system built in this paper,which combines ordinal advance and retreat method and the rank sum ratio method,can well evaluate the clinical departments of TCM hospitals,clearly show the strengths and weaknesses of each department,and provide support for giving full play to the role of performance assessment baton.