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构建县级综合医院急诊急救服务能力评价指标体系的研究

Construction of evaluation index system of emergency and first-aid service capability in county-level general hospitals

作者:

陈校云  张县  宋杨杨  赵秋怡  马岳峰  张国强

单位:

北京,国家卫生健康委医院管理研究所(陈校云);北京中医药大学管理学院(张县、赵秋怡);菏泽市立医院(宋杨杨);浙江大学医学院附属第二医院(马岳峰);中日友好医院(张国强)

关键词:

县级综合医院;急诊急救;医疗服务能力;评价模型;指标体系

分类号:

R197

DOI:

10.3969/j.issn.2095-7432.2021.06.007

出版年,卷(期),页码:2021,11 (6):33-39

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摘要:

目的  构建出一套较为科学、全面的县级综合医院急诊急救服务能力评价指标体系,并借鉴相关能力测评模型,初 步构建指标模型,为县级综合医院急诊急救服务能力的评价提供工具与依据。方法  通过文献研究法、德尔菲法、层次分析法、 统计分析法构建县级综合医院急诊急救服务能力评价指标体系以及相应权重。参考 Donabedian 模型和花瓣模型,初步构建评 价指标模型。结果  经过 2 轮德尔菲法,专家的积极性均为 100%,专家权威系数均> 0.7,肯德尔系数 P 值均< 0.05,各指标变 异系数均< 0.25。构建的评价指标包括 8 个一级指标:资源配置能力、质量管理能力、信息化支撑能力、院前急救能力、院内 救治能力、中心化建设能力、带教与人才培养能力、县域医共体急救体系建设,相应二级指标 42 个。根据指标结果构建县级综 合医院急诊急救服务能力评价“三色模型”。结论  构建的县级综合医院急诊急救服务能力评价指标能够较为全面、客观地评 价县级医院急诊急救服务能力,并可为其他专科医疗服务能力评价提供借鉴。

英文摘要:

Objective To develop a scientific and comprehensive evaluation index system for emergency and first-aid service capacity of county-level general hospitals, and based on the related capacity evaluation models to establish an index model to provide tools and basis for the evaluation of emergency and first-aid service capability of county-level general hospitals. Methods Using the literature research method, Delphi method, analytic hierarchy process, and statistical analysis, an evaluation index system and corresponding weights of emergency and first-aid service capacity of county-level general hospitals were developed. Based on the Donabedian model and the petal model, the evaluation index model was estabished intitially. Results After two rounds of the Delphianalysis, the enthusiasm of the experts was 100%, the expert authority coefficients were > 0.7, the Kendall coefficient P values were <0.05, and the coefficient of variation of each index was < 0.25. The constructed evaluation system included 8 first-level indicators ofcapabilities: resource allocation, quality management, information support, pre-hospital emergency response, in-hospital treatment,centralization construction, teaching and talent training, and county-level medical community first-aid system construction, and 42 corresponding secondary indicators. A "tri-color model" was established for evaluating emergency and first-aid service capabilities ofcounty-level general hospitals based on the index evaluation results. Conclusion The constructed evaluation index system of county-level general hospital's emergency and first-aid service capacity can comprehensively and objectively evaluate the target hospitals, andprovide reference for the evaluation of other specialized medical service capacity as well.

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