基于德尔菲法与层次分析法的三级公立中医医院高质量发展评价指标体系研究

Study on the Evaluation Index System for High-quality Development of Tertiary Public TCM Hospitals Based on Delphi Method and Analytic Hierarchy Method

目的科学构建体现中医药特色的三级公立中医医院高质量发展评价指标体系。方法基于研究文献及国家相关文件,结合我国三级公立中医医院实际发展情况,形成评价指标池;制作调查问卷,采用德尔菲法及层次分析法确定评价指标体系及其权重。结果两轮咨询问卷回收率均为100%,20名专家群体权威系数为0.845。形成的三级公立中医医院高质量发展评价体系包括投入结构、活动过程、结果产出、提质增效、社会影响共5个一级指标,财政医保、人才队伍等14个二级指标及财政投入占医院总收入的比例等75个三级指标,确定的指标权重均通过一致性检验。结论与《公立中医医院高质量发展评价指标(试行)》相比,中医药特色指标贯穿三级公立中医医院高质量发展评价指标体系始终,设置的各评价维度之间具有较强的逻辑性和因果关系,能够用于三级公立中医医院高质量发展的评价。

Objective To scientifically construct an evaluation index system for the high-quality development of tertiary public Chinese medicine hospitals that embodies the characteristics of TCM.Methods Based on literature analysis and relevant national documents,combined with the actual development of tertiary public TCM hospitals in China,an evaluation index pool was preliminarily formed.A questionnaire was produced,and the final evaluation index system and its weight were determined using Delphi method and analytic hierarchy method.Results The recovery rate of both rounds of consultation questionnaires was 100%,and the authoritative coefficient of a group of 20 experts was 0.845.The high-quality development evaluation system of tertiary public TCM hospitals formed includes 5 first-level indicators,such as input structure,activity process,result output,quality and efficiency improvement,social impact,14 second-level indicators,such as finance medical insurance,talent team,and 75 thirdlevel indicators,such as proportion of financial investment in total hospital revenue.The weights of the indicators determined have passed the consistency test.Conclusion Compared with the Evaluation Index for High-quality Development of Public TCM Hospitals(Trial),the characteristic indicators of TCM run through the evaluation index system of high-quality development of tertiary public TCM hospitals,and the evaluation dimensions set have strong logic and causal relationship,which can be used for the evaluation of high-quality development of tertiary public TCM hospitals.