县级公立医院绩效评价指标体系研究

发布时间：2018-08-21 20:32

【摘要】：县级公立医院绩效评价是县级公立医院管理重要组成部分。目前,我国尚未形成从政府和社会视角评价县级公立医院的统一规范评价体系,制约县级公立医院发展。因此,从政府和社会角度出发,构建一套完整的评价县级公立医院指标体系,整体评价县级公立医院具有促进县级公立医院发展的重要作用。县级公立医院绩效评价指标体系对县级公立医院业绩、综合运营、发展状况等方面进行有效衡量和准确输出,提升县级医院综合管理能力,促进县级公立医院形成核心竞争力,并形成长效竞争优势,对于促进我国医药卫生体制的改革,完善公立医院的法人治理结构,建立有效的激励约束机制,提高县级公立医院的竞争力具有重要的理论与现实意义。本课题从保障县级公立医院公益性、激发县级公立医院积极性、促进县级公立医院可持续性三个视角进行切入,从政府和社会的角度出发,以县级公立医院绩效评价体系的设计为研究对象,探讨评价县级公立医院标准。首先,通过阅读相关文献和深入咨询从事医院管理与卫生政策研究领域的专家初步拟定县级公立医院绩效评价指标体系;其次,对咨询问卷进行可靠性检验;再次,运用德尔菲法对指标进行筛选;最后,运用层次分析法对各项指标设置权重,形成县级公立医院绩效评价指标体系。本课题最终构建了县级公立医院绩效评价模型以及县级公立医院绩效评价指标体系,该指标体系包括社会效益、医疗质量与服务、医院运营管理、可持续发展四项一级指标;14项二级指标和48项三级指标,对每项指标进行权重设置,检验结果具有一致性。咨询问卷信度和效度高,可靠性好。三轮问卷回收率均在90%以上,咨询结果可靠性强。指标协调系数具有显著性,咨询专家建议协调性、可靠性、代表性好。本研究在新型医疗体制改革的背景下,从政府和社会角度出发,构建县级公立医院绩效评价模型,形成了县级公立医院绩效评价县级公立医院绩效评价指标体系,该指标体系从社会效益维度、医疗质量与服务维度、医院运营管理维度、可持续发展维度出发科学评价县级公立医院,为县级公立医院发展指明方向,促进县级公立医院发展。
[Abstract]:Performance evaluation of county-level public hospitals is an important part of county-level public hospital management. At present, China has not yet formed a unified and standardized evaluation system for evaluating county-level public hospitals from the angle of government and society, which restricts the development of county-level public hospitals. Therefore, from the point of view of government and society, it is important to construct a complete evaluation index system of county-level public hospitals, and to evaluate the county-level public hospitals as a whole to promote the development of county-level public hospitals. The performance evaluation index system of county-level public hospitals can effectively measure and output the performance, comprehensive operation and development status of county-level public hospitals, promote the comprehensive management ability of county-level hospitals, and promote the core competitiveness of county-level public hospitals. It is of great theoretical and practical significance to promote the reform of Chinese medical and health system, to perfect the corporate governance structure of public hospitals, to establish an effective incentive and restraint mechanism and to improve the competitiveness of county-level public hospitals. From three angles of view of ensuring the public welfare of county-level public hospitals, arousing the enthusiasm of county-level public hospitals, and promoting the sustainability of county-level public hospitals, the subject proceeds from the angle of government and society. Based on the design of performance evaluation system of county-level public hospitals, this paper discusses the evaluation standards of county-level public hospitals. First of all, through reading relevant literature and consulting experts engaged in hospital management and health policy research field preliminary development of the county level public hospital performance evaluation index system; secondly, the reliability of the consultation questionnaire test; again, Using Delphi method to screen the indicators; finally, use the Analytic hierarchy process to set up the weight of each index to form the performance evaluation index system of county public hospitals. Finally, the paper constructs the performance evaluation model of county-level public hospitals and the performance evaluation index system of county-level public hospitals. The index system includes social benefits, medical quality and service, hospital operation and management. There are 14 second-class indexes and 48 third-level indexes for sustainable development. The weight of each index is set up and the result is consistent. The reliability and validity of the questionnaire were high and the reliability was good. The recovery rate of three rounds of questionnaires was above 90%, and the result of consultation was reliable. The index coordination coefficient is significant, consultation experts suggest coordination, reliability, good representativeness. Under the background of the new medical system reform, this paper constructs the performance evaluation model of county-level public hospitals from the angle of government and society, and forms the performance evaluation index system of county-level public hospitals. The index system scientifically evaluates county-level public hospitals from social benefit dimension, medical quality and service dimension, hospital operation and management dimension, sustainable development dimension, points out the direction for the development of county-level public hospitals, and promotes the development of county-level public hospitals.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.3

【参考文献】