基于病种管理的医师临床绩效评价指标体系构建
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摘要
目的旨在变革传统的以经验为主的评价模式,建立一套基于病种管理的,具有客观性、可比性、可操作性的临床医师工作绩效评价指标体系。方法采用专家咨询、文献查阅等方法筛选评价指标,运用层次分析法确定指标权重。结果建立了包含3个维度(医疗效率、医疗质量与安全、病种难度与广度)、11个二级指标的医师临床绩效评价体系。结论以病种管理为基础的评价体系可量化比较临床绩效,具有一定创新性。
Objective: To change the traditional evaluation model based on experience,and establish a set of work performance evaluation index system of clinical physicians with objectivity,comparability,and operability. Method: The authors,with expert consultation and literature review,determine the index w eight by means of selecting evaluation index and analytic hierarchy process.Result: A system of doctor's clinical performance evaluation of three dimension (medical efficiency,medical quality and safety,and difficulty and breadth of disease),and 11 index of the secondary indicators are formed. Conclusion: The evaluation system based on management by disease can do the quantitative comparison of clinical performance,which is of some innovation.
Objective: To change the traditional evaluation model based on experience,and establish a set of work performance evaluation index system of clinical physicians with objectivity,comparability,and operability. Method: The authors,with expert consultation and literature review,determine the index w eight by means of selecting evaluation index and analytic hierarchy process.Result: A system of doctor's clinical performance evaluation of three dimension (medical efficiency,medical quality and safety,and difficulty and breadth of disease),and 11 index of the secondary indicators are formed. Conclusion: The evaluation system based on management by disease can do the quantitative comparison of clinical performance,which is of some innovation.
引文
[1]徐勇,林汉城,王大平.临床医生能力评价的国际应用现状[J].现代医院管理,2016,14(5):2-6
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[3]王珊,饶克勤,刘丽华.我国按病种付费实施现况及国际DRGs支付借鉴[J].中华医院管理,2015,31(2):81-83.
[4]曾广基,林桐榆,郭荣.肿瘤专科医师绩效评价系统的建立与应用[J].中国肿瘤.2008,17(11):923-926.
[5]滕怀金.医生综合素质和工作绩效评价指标体系的建立与实践[D].北京:解放军总医院(军医进修学院),2008.
[6]符晓婷,袁蕙芸.三级医院医师临床能力评价方法的研究[J].中国医院,2012,16(4):68-71.
[7]路彦钧,孙宇骏,莫佳,等.公立医院临床医生模块化绩效分配模型构建研究术[J].中国医院管理,2016,36(12):73-75.
[8]方海燕.基于证据推理的医生绩效评价方法研究[D].杭州:浙江工业大学,2013.
[2]Francis HRF.Case mix use in 25 countries:a migration success but international comparisons failure[J].Int J M ed Inform,2003,70(2-3):215-219.
[3]王珊,饶克勤,刘丽华.我国按病种付费实施现况及国际DRGs支付借鉴[J].中华医院管理,2015,31(2):81-83.
[4]曾广基,林桐榆,郭荣.肿瘤专科医师绩效评价系统的建立与应用[J].中国肿瘤.2008,17(11):923-926.
[5]滕怀金.医生综合素质和工作绩效评价指标体系的建立与实践[D].北京:解放军总医院(军医进修学院),2008.
[6]符晓婷,袁蕙芸.三级医院医师临床能力评价方法的研究[J].中国医院,2012,16(4):68-71.
[7]路彦钧,孙宇骏,莫佳,等.公立医院临床医生模块化绩效分配模型构建研究术[J].中国医院管理,2016,36(12):73-75.
[8]方海燕.基于证据推理的医生绩效评价方法研究[D].杭州:浙江工业大学,2013.