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[1]梁红梅林苡竹蒋红丽黄华灵刘雅娟.托管分院服务能力评价指标体系构建[J].中国卫生质量管理,2025,32(06):23-27.[doi:10.13912/j.cnki.chqm.2025.32.6.05]
　LIANG Hongmei,LIN Yizhu,JIANG Hongli.Construction of an Evaluation Index System for the Service Capabilities of Trusteeship Branch Hospitals[J].Chinese Health Quality Management,2025,32(06):23-27.[doi:10.13912/j.cnki.chqm.2025.32.6.05]

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托管分院服务能力评价指标体系构建

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年06期页码: 23-27 栏目: 医疗质量出版日期: 2025-06-15

Title:: Construction of an Evaluation Index System for the Service Capabilities of Trusteeship Branch Hospitals

作者:: 梁红梅林苡竹蒋红丽黄华灵刘雅娟; 上海交通大学医学院附属新华医院

Author(s):: LIANG Hongmei; LIN Yizhu; JIANG Hongli; Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

关键词:: 医院托管; 托管分院; 服务能力; 指标体系

Keywords:: Hospital Trusteeship; Trusteeship Branch Hospitals; Service Capabilities; Indicator System

分类号:: R197

DOI:: 10.13912/j.cnki.chqm.2025.32.6.05

文献标志码:: A

摘要:: 目的构建托管分院服务能力评价指标体系，为托管分院服务能力建设提供评价工具。方法以“结构－过程－结果”模型为基础，采用文献回顾、专家咨询法及层次分析法，筛选指标并确定各指标权重。结果两轮专家咨询问卷有效回收率分别为100%和80%，专家权威系数分别为0.892和0.895，第二轮咨询后指标体系重要性和可行性得分的Kendall’s W系数分别为0.192和0.082（P均 < 0.001）。最终评价指标体系包含规模结构、资源支持、制度建设、协作机制、考核评价机制、服务体量、质量安全、运营效率8个一级指标，下设20个二级指标和45个三级指标。权重排前三的一级指标为质量安全（0.242 5）、协作机制（0.195 4）及制度建设（0.165 4）。结论托管分院服务能力评价指标体系具有一定科学性和合理性，有助于引导政府部门和医院管理部门开展托管分院服务能力评估，促进托管分院服务能力提升。

Abstract:: ObjectiveTo construct an evaluation index system for the service capabilities of trusteeship branch hospitals, providing an evaluation tool for the development of service capabilities in trusteeship branch hospitals.MethodsBased on the "Structure-Process-Outcome" model, literature review, expert consultation, and analytic hierarchy process were employed to screen indicators and determine their respective weights.ResultsThe effective response rates for the two rounds of expert consultation were 100% and 80%, respectively, with expert authority coefficients of 0.892 and 0.895. After the second round of consultation, the Kendall’s W coefficients for the importance and feasibility scores of the indicator system were 0.192 and 0.082 (both P< 0.001). The final evaluation index system comprises 8 first-level indicators, 20 second-level indicators, and 45 third-level indicators, including scale structure, resource support, system construction, collaboration mechanisms, assessment and evaluation mechanisms, service volume, quality and safety, and operational efficiency. The top three first-level indicators by weight are quality and safety (0.242 5), collaboration mechanisms(0.195 4), and system construction(0.165 4).Conclusion The evaluation index system for the service capabilities of trusteeship branch hospitals is scientific and reasonable, aiding government departments and hospital management departments in conducting evaluations of trusteeship branch hospitals service capabilities and promoting their development.

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更新日期/Last Update: 2025-06-15