武警部队医院优势学科综合评价模型的建立研究
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摘要
武警部队医院优势学科综合评价指对参加评选的学科领域内人-事-物系统,即人才建设、医疗工作、科学研究、学术社会活动等及所要达到的目的、价值和效果、效率进行综合评价的过程。优势学科在现阶段部队医院建设中具有重要的地位和作用,建立一套系统、科学、符合部队医院学科发展特点和规律的优势学科评价体系,完善学科的长效考评机制,是实现医院管理制度化、标准化和规范化的有效途径。
本研究以综合评价理论为指导,充分参考国内外关于医院学科建设和评价的经验,结合武警部队医院学科工作的实际情况,运用文献研究、自由列举访谈、SWOT分析等方法明确评价体系的目的,建立指标体系的框架。然后经过两轮德尔菲专家咨询,筛选、修改评价指标,估算、调整指标权重,并通过实例应用后的信度和效度检验最终确立了武警部队医院优势学科综合评价指标体系,并探讨了部队医院优势学科的概念与内涵。最后,运用模糊数学的方法拟合综合评价的一般模型,应用该模型对武警总医院心内科进行了综合评价。在此基础上,将评价研究与信息技术相结合,在计算机公司的技术支持下完成“武警部队医院学科综合评价模型”的软件开发。
The synthetical evaluation of the major departments in hospitals of the Chinese People’s Armed Police Forces refers to the comprehensive evaluation of the“Staff/Procedures/Equipm- ents”system within the selected subject field,including human resource management,clinical practices,academic research and socio-academic activities etc. As well as their expected goals, value,effect and efficiency. The major departments are of great importance and functionality in the course of constructing the CAPF hospitals at the present stage. Establishing a set of systematical and scientific evaluation standards suiting the features and regularities of the development of the major departments in the CAPF hospitals and installing a long-term evaluation system for all the departments are the efficient ways to realize the systemized,standardized and regulated hospital management.
Under the guidance of the synthetical evaluation model, this study draws extensively from existing home and overseas literatures on the hospital’s department evaluation and management,also consulting to the actual practices from the CAPF hospitals. This study applies methodologies including literature review,random interview and SWOT analysis to clearly define the purpose of the evaluation system and initially draw on evaluation protocal.Based upon two Delphi-experts consultings,the content of pre-constructed index standardization was screened and modified and the index weights examined and adjusted.The synthetical evaluation system on major departmen- ts in the Armed Police Forces hospitals takes root after combining all the previous researches with the credibility and validity tests from actual applications but also we discuss the definition and intention of the major departments in the CAPF hospitals.Lastly,the study applies the Fuzzy Mathematics to simulate the general model of the synthetical evaluation and deploys the synthetical evaluation model to evaluate the Cardiology Department in the Armed Police General Hospital. Based upon the research results,combining the advantages of evaluations and information technology, the“Synthetical evalua- tion Model on the Major Departments in the Armed Police Forces Hospitals”,software is being developed with the support from computer science professionals.
本研究以综合评价理论为指导,充分参考国内外关于医院学科建设和评价的经验,结合武警部队医院学科工作的实际情况,运用文献研究、自由列举访谈、SWOT分析等方法明确评价体系的目的,建立指标体系的框架。然后经过两轮德尔菲专家咨询,筛选、修改评价指标,估算、调整指标权重,并通过实例应用后的信度和效度检验最终确立了武警部队医院优势学科综合评价指标体系,并探讨了部队医院优势学科的概念与内涵。最后,运用模糊数学的方法拟合综合评价的一般模型,应用该模型对武警总医院心内科进行了综合评价。在此基础上,将评价研究与信息技术相结合,在计算机公司的技术支持下完成“武警部队医院学科综合评价模型”的软件开发。
The synthetical evaluation of the major departments in hospitals of the Chinese People’s Armed Police Forces refers to the comprehensive evaluation of the“Staff/Procedures/Equipm- ents”system within the selected subject field,including human resource management,clinical practices,academic research and socio-academic activities etc. As well as their expected goals, value,effect and efficiency. The major departments are of great importance and functionality in the course of constructing the CAPF hospitals at the present stage. Establishing a set of systematical and scientific evaluation standards suiting the features and regularities of the development of the major departments in the CAPF hospitals and installing a long-term evaluation system for all the departments are the efficient ways to realize the systemized,standardized and regulated hospital management.
Under the guidance of the synthetical evaluation model, this study draws extensively from existing home and overseas literatures on the hospital’s department evaluation and management,also consulting to the actual practices from the CAPF hospitals. This study applies methodologies including literature review,random interview and SWOT analysis to clearly define the purpose of the evaluation system and initially draw on evaluation protocal.Based upon two Delphi-experts consultings,the content of pre-constructed index standardization was screened and modified and the index weights examined and adjusted.The synthetical evaluation system on major departmen- ts in the Armed Police Forces hospitals takes root after combining all the previous researches with the credibility and validity tests from actual applications but also we discuss the definition and intention of the major departments in the CAPF hospitals.Lastly,the study applies the Fuzzy Mathematics to simulate the general model of the synthetical evaluation and deploys the synthetical evaluation model to evaluate the Cardiology Department in the Armed Police General Hospital. Based upon the research results,combining the advantages of evaluations and information technology, the“Synthetical evalua- tion Model on the Major Departments in the Armed Police Forces Hospitals”,software is being developed with the support from computer science professionals.
引文
1黄茂辉,石青龙.医院管理概论第十四章.中国医院管理, 1999,19(11):60~63
2秦银河,文德功,等.创建研究型医院-“301”医院管理与实践.北京:人民卫生出版社, 2007:55~63
3龚幼龙,冯学山.卫生服务研究.上海:复旦大学出版社, 2002:124~246
4梁香华,南克勉,等.武警卫生勤务学.北京:人民卫生出版社, 1997:7
5李泽平,黄茂辉.医院科室管理概论第一章.中国医院管理, 1998,18(7):58~59
6孙振球,王乐山.医学综合评价方法及其应用.北京:化学工业出版社, 2006:70
7赵坤.大学重点学科核心竞争力形成与评价模型研究.第三军医大学硕士论文, 2004:29~30
8王宗海.医学基础课精品课评价方案的研究.第三军医大学硕士论文, 2005:13
9 Borgatti. ANTHROPAC 4.0 Methods Guide. NATIC,MA: An-alytic Technologies, 1996:1~3
10孙振球,徐勇勇.医学统计学.北京:人民出版社, 2002: 330~390
11曾光,李辉.现代流行病学方法与应用.北京:北京医科大学协和医科大学联合出版社, 1996:250~259
12张文彤. SPSS11.0统计分析教程(高级篇).北京希望电子出版社, 2002:450~455
1卢纹岱. SPSS For Windows统计分析.北京:电子工业出版社, 2003:517~522
2李立明.临床流行病学.北京:人民卫生出版社, 2002:120
3张文彤,董伟. SPSS统计分析高级教程.北京:高等教育出版社, 2004:363~365
4孙振球,徐勇勇.医学统计学(第二版).北京:人民卫生出版社, 2002:756~759
5孙振球,王乐山.医学综合评价方法及其应用.北京:化学工业出版社, 2006:100~110
6江昌勇.应用型人才素质之模糊综合评价模型的构建.中国科技论文在线. http://www.paper.edu.cn
1赵坤.大学重点学科核心竞争力形成与评价模型研究.第三军医大学硕士学位论文, 2004:91~95
2孟虹,钱亢.国外医院效果和效率的评价.中国医院管理, 1999,19(9):21~22
3 C D Shaw.医疗评估的准则.国外医学医院管理分册, 1990:106
4 Thomas TH.Wan. Analysis and Evaluation oF Health Care Systems. NewYork: Health ProFessions, 1995,80~190
5 ThomasJ.W, Holloway.J.J.Valiadting risk-adjusted mortalityas an indicator For quality oF care. Inquiry, 1995,30:6~22
6 MJ Fine, BH Hanusa, JR Lave, et al. Comparison oF a Disease-speciFic and a Generic Severity oF Illness Measure For Patients with Community-acquired Pneumonia. Journal oF General Internal Medicine, 1995,10:359~368.
7倪思明.日本医院管理考察与思考.中国医院管理, 1997, 13(7):445
8梁智,赵芳.江苏省医学重点学科(实验室)评估分析.中华医学科研管理杂志, 2005,18(1):53~55
9关丽征,刘小平.北京市卫生重点学科项目中期评估定性研究.科研管理, 2004,24(5):37~38
10张勘,孟虹.上海市临床医学中心建设绩效评估研究.中华医院管理杂志, 2006,22(6):414~417
11朱允卫,易开刚.对进一步完善我国一级学科评估的若干思考.科研管理, 2006,27(1):156~158
12张立平.军队医院管理学.北京:人民军医出版社, 1997: 20~27
13张玉霞,许涛等.临床医学重点学科建设发展趋势与评估.解放军医院管理杂志, 2001,8(6):439~440
14林杰,高佚等.应用TOPSIS法对临床学科综合评价的探讨.中华医学会医学科研管理学分会第九次学术年会, 2004
15宁方芹,付亚芬.制定临床学科评估标准的思考和实际.中华医学科研管理杂志, 2003,16):7~8
16王伟,徐桂香.文献计量方法在重点学科评估中的应用.情报科学, 1998,16(5):417~424
17孙振球,王乐三.医学综合评价方法及其应用.北京:化学工业出版社, 2006:1~3.
18葛长荣.第一军医大学医学临床重点学科评估体系的建立和软件系统制作.第三军医大学硕士学位论文, 2004:10
19周建中,李晓轩.国外科研资助机构的学科评估及其启示.科研管理, 2005, 26(5):123
1王显超.高等医科院校重点学科建设发展与管理模式的研究.第四军医大学学位论文, 2004:12
2秦银河,文德功,等.创建研究型医院——“301”医院管理与实践.人民卫生出版社, 2007:55
3吴佳佳,赵炜,等.谈学位授权学科建设.解放军医院管理杂志, 2004,11(5):473~474.
4李静.试论大型综合性医院优势学科群建设.中华医院管理杂志, 2003,19(9):520
5朱士俊,李泽平.正确处理军队医院发展中的几个关系.解放军医院管理杂志, 2003,10(6):538
2秦银河,文德功,等.创建研究型医院-“301”医院管理与实践.北京:人民卫生出版社, 2007:55~63
3龚幼龙,冯学山.卫生服务研究.上海:复旦大学出版社, 2002:124~246
4梁香华,南克勉,等.武警卫生勤务学.北京:人民卫生出版社, 1997:7
5李泽平,黄茂辉.医院科室管理概论第一章.中国医院管理, 1998,18(7):58~59
6孙振球,王乐山.医学综合评价方法及其应用.北京:化学工业出版社, 2006:70
7赵坤.大学重点学科核心竞争力形成与评价模型研究.第三军医大学硕士论文, 2004:29~30
8王宗海.医学基础课精品课评价方案的研究.第三军医大学硕士论文, 2005:13
9 Borgatti. ANTHROPAC 4.0 Methods Guide. NATIC,MA: An-alytic Technologies, 1996:1~3
10孙振球,徐勇勇.医学统计学.北京:人民出版社, 2002: 330~390
11曾光,李辉.现代流行病学方法与应用.北京:北京医科大学协和医科大学联合出版社, 1996:250~259
12张文彤. SPSS11.0统计分析教程(高级篇).北京希望电子出版社, 2002:450~455
1卢纹岱. SPSS For Windows统计分析.北京:电子工业出版社, 2003:517~522
2李立明.临床流行病学.北京:人民卫生出版社, 2002:120
3张文彤,董伟. SPSS统计分析高级教程.北京:高等教育出版社, 2004:363~365
4孙振球,徐勇勇.医学统计学(第二版).北京:人民卫生出版社, 2002:756~759
5孙振球,王乐山.医学综合评价方法及其应用.北京:化学工业出版社, 2006:100~110
6江昌勇.应用型人才素质之模糊综合评价模型的构建.中国科技论文在线. http://www.paper.edu.cn
1赵坤.大学重点学科核心竞争力形成与评价模型研究.第三军医大学硕士学位论文, 2004:91~95
2孟虹,钱亢.国外医院效果和效率的评价.中国医院管理, 1999,19(9):21~22
3 C D Shaw.医疗评估的准则.国外医学医院管理分册, 1990:106
4 Thomas TH.Wan. Analysis and Evaluation oF Health Care Systems. NewYork: Health ProFessions, 1995,80~190
5 ThomasJ.W, Holloway.J.J.Valiadting risk-adjusted mortalityas an indicator For quality oF care. Inquiry, 1995,30:6~22
6 MJ Fine, BH Hanusa, JR Lave, et al. Comparison oF a Disease-speciFic and a Generic Severity oF Illness Measure For Patients with Community-acquired Pneumonia. Journal oF General Internal Medicine, 1995,10:359~368.
7倪思明.日本医院管理考察与思考.中国医院管理, 1997, 13(7):445
8梁智,赵芳.江苏省医学重点学科(实验室)评估分析.中华医学科研管理杂志, 2005,18(1):53~55
9关丽征,刘小平.北京市卫生重点学科项目中期评估定性研究.科研管理, 2004,24(5):37~38
10张勘,孟虹.上海市临床医学中心建设绩效评估研究.中华医院管理杂志, 2006,22(6):414~417
11朱允卫,易开刚.对进一步完善我国一级学科评估的若干思考.科研管理, 2006,27(1):156~158
12张立平.军队医院管理学.北京:人民军医出版社, 1997: 20~27
13张玉霞,许涛等.临床医学重点学科建设发展趋势与评估.解放军医院管理杂志, 2001,8(6):439~440
14林杰,高佚等.应用TOPSIS法对临床学科综合评价的探讨.中华医学会医学科研管理学分会第九次学术年会, 2004
15宁方芹,付亚芬.制定临床学科评估标准的思考和实际.中华医学科研管理杂志, 2003,16):7~8
16王伟,徐桂香.文献计量方法在重点学科评估中的应用.情报科学, 1998,16(5):417~424
17孙振球,王乐三.医学综合评价方法及其应用.北京:化学工业出版社, 2006:1~3.
18葛长荣.第一军医大学医学临床重点学科评估体系的建立和软件系统制作.第三军医大学硕士学位论文, 2004:10
19周建中,李晓轩.国外科研资助机构的学科评估及其启示.科研管理, 2005, 26(5):123
1王显超.高等医科院校重点学科建设发展与管理模式的研究.第四军医大学学位论文, 2004:12
2秦银河,文德功,等.创建研究型医院——“301”医院管理与实践.人民卫生出版社, 2007:55
3吴佳佳,赵炜,等.谈学位授权学科建设.解放军医院管理杂志, 2004,11(5):473~474.
4李静.试论大型综合性医院优势学科群建设.中华医院管理杂志, 2003,19(9):520
5朱士俊,李泽平.正确处理军队医院发展中的几个关系.解放军医院管理杂志, 2003,10(6):538
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