縣級醫(yī)院臨床專科能力評估指標體系構(gòu)建與應用

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中圖分類號：R197 文獻標識碼：A

Abstract ObjectiveTo construct a clinical specialty capability evaluation idex system applicable to county一level hospitals，providing reference for the clinical specialtycapacity building of primary medical institutions.MethodsA literatureanalysis wasconducted toretrieverelevant documents，and preliminary classificationand screningof indicators were performed with reference tothe"General Indicators for National Clinical Specialty Capacity Assessment".The Delphi method was employed to optimize the indicator system，and the Analytic Hierarchy Process was used to determine the weightsof theindicators.Thespecialtycapabilitylevelsof32clinical departments inacounty-levelhospital were calculated through scoring.ResultsThe positive coefficients of the two rounds of Delphi experts were both 100% ， withauthoritycoefficientsrangingfrom0.795to0.995，andcoordinationcoeficients increasingfromO.369 to0.43，al with P<0.05 . The constructed indicator system comprises 5 first—level indicators，including service capability，technical capability，qualityand safety，service eficiency，andsustainable developmen，as wellas16 second-level indicators， and 43 third—level indicators. The CR values for all levels of indicators are less than O.1. After application， the evaluationresultsobjectivelyreflect the specialtycapabilitylevelsofthesample hospital.ConclusionTheconstructed evaluationsystem issuitableforassssng the specialtycapabilities ofcounty-level hospitals andcan provideabaseline surveyand quantitativeevaluationtolforlater efects，contributing tothe high-qualitydevelopmentofcounty—level hospitals.

Keywords

County—Level Hospitals;Clinical Specialty Capability；Evaluation Indicators

First-authorsaddress Shanghai First People's Hospital Jintan Branch/The First People's Hospital of Jintan，Chan gzhou，Jiangsu，213200，China

縣級醫(yī)院在我國城鄉(xiāng)醫(yī)療服務(wù)體系中發(fā)揮著橋梁和紐帶作用，其臨床專科能力建設(shè)水平關(guān)系到基層醫(yī)療服務(wù)的質(zhì)量和效率。（剩余5491字）