紧密型城市医疗集团运行质效评价指标体系构建及应用

Construction and Application of Operation Quality and Effectiveness Evaluation Index System of Compact City Medi⁃cal Group

目的:构建紧密型城市医疗集团运行质效评价指标体系,为评价紧密型城市医疗集团建设提供参考依据。方法:通过德尔菲法构建评价指标体系,通过层次分析法确定权重。结果:评价指标体系包含5个一级指标、12个二级指标、40个三级指标。实证研究表明,构建的评价指标体系有较好的科学性和权威性,能够为紧密型城市医疗集团建设提供科学、全面、客观的动态考核评估方法。结论:在紧密型城市医疗集团建设试点初步阶段,应加强政策支持,探索创新治理机制,通过落实责任共同体、强化信息互联互通、完善收益分配机制等措施,逐步推动紧密型城市医疗集团建设。

Objective:To construct an evaluation index system of operation quality and effectiveness of compact urban medical groups and provide references for evaluation of compact urban medical groups.Methods:The evaluation index system was constructed by Delphi method,and the weight was determined by analytic hierarchy process.Results:The evaluation index system consisted of 5 primary indexes,12 secondary indexes and 40 tertiary indexes.Providing assessment methods for the construction of medical groups,the evaluation index system is scientific and authoritative.Conclusion:At the initial stage,policy support should be strengthened,innovative governance mechanisms should be explored,and measures such as implementing a community of responsibilities,strengthening information interconnection,and improving profit distribution mechanisms should be taken to gradually promote the construction of close urban medical groups.