公立医院医疗质量和安全的评价体系构建:基于PATH模型视角
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摘要
目的充分借鉴WHO设计的PATH模型在评价方面的成功经验,在我国公立医院评价领域引入PATH理论模型,构建公立医院医疗质量和安全评价指标体系。方法运用文献分析法构建原始指标库,德尔菲法进行指标筛选,层次分析法计算指标权重。结果构建基于PATH理论的公立医院医疗质量和安全评价指标体系,包含以病人为中心、以员工为导向、医疗效果与效率、社会责任、运营管理和持续发展6个一级指标,14个二级指标,40个三级指标,其中一级指标权重系数分别为0. 1635、0. 1743、0. 1647、0. 1653、0. 1698和0. 1623。结论基于PATH理论的公立医院医疗质量和安全评价指标体系设计合理,专家权威性、积极性、意见协调性和集中程度均符合要求,体现多维度、多方面的评价特点。
Objective To make full use of the successful experience of the PATH model proposed by WTO,and to introduce the PATH theory model in the public hospital evaluation in our country,so as to construct the medical quality and safety evaluation index system of public hospitals. Methods Literature analysis,Delphi method and AHP were used to establish the original index database,select the index,and calculate index weight,respectively. Results The medical quality and safety evaluation index system of public hospitals based on PATH theory was constructed,which consisted of 6 first level indexes,including patient-centered,employee oriented,medical effect and efficiency,social responsibility,operation management and sustainable development,14 two-level indexes and 40 three grade indexes. The index weight coefficient of the first level index was 0. 1635,0. 1743,0. 1647,0. 1653,0. 1698 and 0. 1623. Conclusion Based on the PATH theory,the public hospital medical quality and safety evaluation index system is designed reasonably. The experts' authority,enthusiasm,coordination and concentration are all in accordance with the requirements,reflecting the multi-dimensional and multi-faceted of the evaluation characteristics.
Objective To make full use of the successful experience of the PATH model proposed by WTO,and to introduce the PATH theory model in the public hospital evaluation in our country,so as to construct the medical quality and safety evaluation index system of public hospitals. Methods Literature analysis,Delphi method and AHP were used to establish the original index database,select the index,and calculate index weight,respectively. Results The medical quality and safety evaluation index system of public hospitals based on PATH theory was constructed,which consisted of 6 first level indexes,including patient-centered,employee oriented,medical effect and efficiency,social responsibility,operation management and sustainable development,14 two-level indexes and 40 three grade indexes. The index weight coefficient of the first level index was 0. 1635,0. 1743,0. 1647,0. 1653,0. 1698 and 0. 1623. Conclusion Based on the PATH theory,the public hospital medical quality and safety evaluation index system is designed reasonably. The experts' authority,enthusiasm,coordination and concentration are all in accordance with the requirements,reflecting the multi-dimensional and multi-faceted of the evaluation characteristics.
引文
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[2]孙纽云,杨建华,梁铭会,等.某市52例妇产科医疗事故原因分析与对策研究[J].中国医院,2011,15(5):10-12.
[3]谢子秋,唐锦辉,夏海鹏,等.借助信息化实现医疗质量与安全精准化考核[J].中国卫生质量管理,2015,22(6):9-11.
[4]杨毅,张昕男,田侃.基于Delphi和AHP的公立医院声誉评价指标体系构建[J].中国卫生事业管理,2017,34(4):241-246,283.
[5]李刚,陶红兵,唐锦辉,等.依托六大平台实施医疗质量与安全精准化监管[J].中国医院管理,2015,35(1):19-21.
[6]陈宏,徐占民,孙嘉欣,等. PATH模型对我国医院绩效评价体系构建的启示[J].中国医院管理,2016,36(8):1-4.
[7]陈宏,徐占民,孙嘉欣,等.公立医院绩效评价PATH优化模型实证研究——基于齐齐哈尔市第一医院的实践[J].中国医院管理,2016,36(8):8-10.
[8]王莹,黄丽华,冯志仙,等.基于循证和德尔菲法构建导尿管维护策略的研究[J].中华护理杂志,2016,51(2):155-160.
[9]武丽志,吴甜甜.教师远程培训效果评估指标体系构建——基于德尔菲法的研究[J].开放教育研究,2014,20(5):91-101.
[10]申志东.运用层次分析法构建国有企业绩效评价体系[J].审计研究,2013(2):106-112.
[11]韦余东,张人杰,张新卫,等.层次分析法在疾控机构应急能力评价指标权重确定中的应用[J].中国预防医学杂志,2015,16(10):770-773.