公立医院高质量发展新文化指标体系构建研究

Research on the Construction of a New Cultural Indicator System for High-quality Development of Public Hospitals

目的研究构建公立医院高质量发展新文化指标体系,为评价公立医院新文化建设水平、推进高质量发展提供科学工具。方法基于政策梳理和文献研究建立指标池,通过德尔菲专家咨询论证形成指标体系,并运用层次分析法赋予权重系数。结果公立医院新文化指标体系包含医院文化制度建设、强化患者需求导向、关心关爱医务人员和特色鲜明医院文化4个一级指标、8个二级指标和23个具体条目,开展成效作为附加维度包含2个二级指标和8个具体条目。一级指标权重均衡;二级指标中,制度规划(0.250)、员工关怀(0.170)、医疗服务(0.130)、学科品牌(0.125)和职业精神(0.125)权重相对较高。结论所构建的公立医院高质量发展新文化指标体系契合习近平文化思想和建设公立医院高质量发展新文化要求;需关注文化制度规划,强化员工关怀及职业精神培养,注重医疗服务和学科品牌建设,促进公立医院新文化建设与国家战略要求同频共振。

Objective It constructs a new culture index system for high-quality development of public hospitals to provide scientific tool for evaluating the level of new culture construction of public hospitals and promoting high-quality development.Methods A pool of indicators was established based on policy combing and literature research.Then,an indicator system was formed through Delphi expert consultation and demonstration,and weighting coefficients were assigned using the hierarchical analysis method.Results The indicator system of the new culture in public hospitals contains four primary indicators,eight secondary indicators and 23 specific entries.The four primary indicators are hospital culture system construction,strengthening the orientation of patients'needs,caring for medical staff and distinctive hospital culture.The effectiveness of implementation as an additional dimension contains two secondary indicators and eight specific entries.The weights of the primary indicators are balanced.Among the secondary indicators,institutional planning(0.250),staff care(0.170),medical services(0.130),discipline branding(0.125)and professionalism(0.125)have higher weights.Conclusion The new culture index system for high-quality development of public hospitals is in line with Xi Jinping's cultural thought and the requirements of the new culture for high-quality development of public hospitals.It needs to pay attention to the planning of the cultural system,emphasises the care of employees and the cultivation of professionalism,and focuses on the construction of medical services and disciplinary brands,so as to promote the construction of the new culture in public hospitals in line with the requirements of the national strategies.