基于德尔菲法和层次分析法构建三甲医院公派出国遴选指标的研究

Research on Construction of Selection Index of Government-sponsored Study Abroad in Grade A Tertiary Hospital Based on Delphi Method and Analytic Hierarchy Process

目的构建适合公立医院公派出国遴选指标体系,为医院选派出国人员提供有效参考。方法通过文献研究、归纳分析和小组讨论,建立出国遴选指标体系的框架和指标池。选择15名相关领域专家,应用德尔菲法对指标的重要性进行评估;应用层次分析法确定指标权重值,构建医院公派出国遴选指标体系。结果经过两轮专家咨询,确定包含5项一级指标、15项二级指标的遴选体系。一级指标按照权重大小依次为出国对单位学科发展作用(0.2796)、个人综合素质(0.2510)、科学研究能力(0.2140)、学科和出访单位水平(0.1421)\临床业务能力(0.1134)。二级指标组合权重前3位分别为政治思想品质与职业操守(0.1380)、代表性科技成果(0.1030)、前期工作基础与出国研修的关联性(0.1008)。组合权重最低的3个二级指标分别为近3年累计门诊量(0.0217)、近3年累计住院量或手术量(0.0304)以及掌握相关实验技能水平(0.0439)。利用指标体系对10名出国人员进行评价,将评分结果秩次与其出国前后发表SCI论文数量变化情况秩次以及三、四级手术量变化情况秩次进行Spearman秩相关分析,遴选指标体系排名与两个进修效果排名均呈显著正相关。结论此次构建的三甲公立医院公派出国遴选指标体系具有科学性与可靠性,公立医院在选派出国人员时需要更加重视出国对单位的发展作用、以个人政治思想品质与操守为主的个人综合素质及代表性科技成果所反映的科学研究能力等指标的水平,以更加科学地遴选出国人员。

Objectives This study aims to establish a selection index system suitable for government-sponsored study abroad to provide an effective reference for the selection of public hospital staff.Methods Through literature review,inductive analysis,and group discussion,the framework and index pool of the selection index system were preliminarily established.15 experts in relevant fields were selected to evaluate the importance of indicators using the Delphi method.The analytic hierarchy process was used to determine the index weight values and construct an index system for selecting hospitals for public service abroad.Results After two rounds of expert consultation,5 first-level indicators and 15 second-level indicators were determined.The first-level indicators,in order of weight,were the effect of going abroad on the unit's discipline development(0.2796),personal comprehensive quality(0.2510),scientific research ability(0.2140),discipline and visiting unit level(0.1421),and clinical business ability(0.1134).The top three weights of the secondary indicator combination were political and ideological quality and professional ethics(0.1380),representative scientific and technological achievements(0.1030),and the correlation between preliminary work foundation and study abroad(0.1008).The three secondary indicators with the lowest combined weights were the cumulative outpatient volume in the past 3 years(0.0217),the cumulative hospitalization volume or surgical volume in the past 3 years(0.0304),and the mastery of relevant experimental skills(0.0439).The index system was used to evaluate 10 people who went abroad.Spearman rank correlation analysis was conducted between the ranking of the scoring results,the ranking of the changes in the number of SCI papers published before and after going abroad,and the ranking of the changes in the volume of third-and fourth-level surgeries.There was a significant positive correlation between the selection index system ranking and the two learning effect rankings.Conclusions The selection index system for tertiary public hospitals to be sent abroad is scientific and reliable.When selecting overseas personnel,public hospitals need to pay more attention to the role of going abroad in the development of the unit,the overall quality of individuals based on personal political and ideological quality and ethics,and the level of scientific research capabilities reflected in representative scientific and technological achievements,so as to more scientifically assess the level of indicators for selection of overseas personnel.