摘要
目的建立具有肿瘤专科特色的医院质量评价指标体系并进行应用。方法采用德尔菲法和层次分析法构建指标体系并确定各级指标权重,运用目标管理法及O/E值(实际值/期望目标值)对指标体系进行应用分析。结果两轮德尔菲专家积极系数均为100%,权威系数分别为0.837、0.859,两轮专家意见协调系数介于0.290~0.312之间。构建的指标体系包含4个一级指标、12个二级指标和47个三级指标。各级指标CR值均<0.1,表明指标权重较合理。2022年,样本医院达到设定目标值的三级指标有32个,达标率为68.09%。结论指标体系具有一定科学性、可靠性和适用性,可作为提升区域肿瘤防治水平的评价工具。
Objective To establish a quality evaluation index system with oncology specialty characteristics and carry out its application.Methods The Delphi method and Analytic Hierarchy Process(AHP)were used to construct an index system and determine the weights of each level of indicators.The Management by Objectives(MBO)approach and the O/E value were used to analyze the indicator system.Results The positive coefficient of the two rounds of Delphi experts was 100%,and the authority coefficient was 0.837 and 0.859 respectively.The coordination coefficients of the two rounds of experts ranged from 0.290 to 0.312.The constructed evaluation system included 4 primary indicators,12 secondary indicators,and 47 tertiary indicators.The CR values of each level of indicators were all<0.1,indicating good rationality of weight.The number of level-3 indicators that reached the set target value in sample hospital in 2022 was 32,with a compliance rate of 68.09%.Conclusion The index system has certain scientificity,reliability,and applicability,which provide an evaluation tool for improving the level of regional tumor prevention and treatment.
作者
沈乐冲
唐琴
王志刚
王
顾晓芳
林海涛
SHEN Lechong;TANG Qin;WANG Zhigang(Jiangsu Oncology Hospital(the Affiliated Cancer Hospital of Nanjing Medical University)/Jiangsu Cancer Center,Nanjing,Jiangsu,210000,China;不详)
出处
《中国卫生质量管理》
2024年第4期32-36,共5页
Chinese Health Quality Management
基金
江苏省肿瘤医院卓越管理计划(编号:ZG202107)
2021年度江苏省医院管理创新研究课题(编号:JSYGY-2-2021-286)。
关键词
肿瘤专科
指标体系
德尔菲法
层次分析法
MBO目标管理法
Oncology Specialization
Index System
Delphi Method
Analytic Hierarchy Process(AHP)
Management by Objectives Method
