基于德尔菲法的临床专科医疗服务绩效评价指标体系研究

Research on the Performance Evaluation Index System for Medical Services of Clinical Specialty Based on Delphi Method

目的 构建符合公立医院高质量发展的临床专科医疗服务绩效评价指标体系。方法 在文献研究、专家小组讨论的基础上,形成临床专科医疗服务绩效评价指标体系框架,然后采用德尔菲法筛选指标和确定各指标的权重,通过专家积极系数、权威程度和意见协调程度检验专家咨询的可靠性。结果 三轮专家积极系数分别为100%、100%和92%;专家权威系数0.87。通过3轮专家咨询,专家意见趋于一致,形成了一套包括5个一级指标、17个二级指标、42个三级指标的临床专科医疗服务绩效评价指标体系。结论 研究设计严谨、所选专家具有代表性和权威性、专家意见协调程度高,指标筛选结果科学合理,适于临床专科医疗服务绩效评价。

Objective:In order to construct a performance evaluation index system for clinical specialized medical services that is in line with the high-quality development of public hospitals.Method:The authors formed a framework for the performance evaluation index system of clinical specialized medical services based on literature research and expert group discussions.Then,the Delphi expert consultation method was used to screen the indicators and determine the weights of each indicator.The reliability of expert consultation was tested through the expert's positive coefficient,authority level,and opinion coordination level.Result:The three rounds of expert positivity coefficients are 100%,100%,and 92%,respectively.The authority coefficient of experts is 0.87.Through three rounds of expert consultation,the opinions of experts have become more consistent,forming a clinical specialized medical service performance evaluation index system that includes 5 first-grade indicators,17 second-grade indicators,and 42 thirdgrade indicators.Conclusion:The research design is rigorous,the selected experts are representative and authoritative,the coordination of expert opinions is high,and the indicator screening results are scientific and reasonable,suitable for evaluating the performanceofclinical specialized medical services.