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目的对公立医院经营效率评价指标进行初步筛选,为进一步确定符合中国国情的公立医院经营效率评价指标体系提供参考。方法以文献分析与专题小组讨论为基础,初步筛选出公立医院经营效率评价指标,并由此形成专家咨询表,采用Delphi法和头脑风暴法相结合的方式对指标进行筛选。结果通过3轮专家咨询,对初步拟定的指标做了修改补充,评价指标从36个减少为25个。结论多种咨询方法的联合运用增加了研究的科学性,筛选出的公立医院经营效率评价指标涵盖面较广,投入指标的内涵更为准确,产出指标更精练、分类更为合理。这些评价指标目前仅适用于县级及以上医院的经营效率评价。
Objective To screen the evaluation indexes of public hospitals’ operation efficiency, and to provide reference for further determining the evaluation index system of public hospitals operating efficiency in line with China’s national conditions. Methods Based on the literature analysis and panel discussions, we initially screened the evaluation indexes of public hospital management efficiency, and formed the expert consultation form. The method was used to screen the indicators by means of Delphi method and brainstorming method. Results Through three rounds of expert consultation, the preliminary proposed indicators were modified and supplemented, and the evaluation index was reduced from 36 to 25. Conclusions The combined use of multiple counseling methods has increased the scientific nature of the research. The selected public hospital management efficiency evaluation index covers a wide range, the connotation of input indicators is more accurate, the output indicators are more concise, and the classification is more reasonable. These evaluation indicators are currently only applicable to the management efficiency evaluation of hospitals at county level and above.