Public hospital Evaluation system Delphi method Public welfare
目的：为公立医院构建一套具备科学性、可借鉴性、可操作性的考核评价体系。方法：运用文献法研究国内外公立医院考核评价理论。针对患者及医务人员实施问卷调查，根据结果形成德尔菲调查初始问卷。通过德尔菲法对指标进行两轮筛选，并运用层次分析法（AHP）对指标进行权重赋值。结果：初步形成包含“社会效益”、“质量安全”、“运行效益与效率”等3个一级指标、13个二级指标和72个三级指标为基本结构的公立医院考核体系。结论：该指标体系以公立医院公益性为导向，重点关注医疗质量内涵提升，对公立医院考核评价具有一定参考意义。
Objectives：To build a set of scientific，referential and operable evaluation system for public hospitals. Methods：This paper studies the theory of evaluation system for public hospital from home and abroad with documentary method. Besides，it does the questionnaire survey for patients and medical staff，from which gets the Delphi initial questionnaire.The study operates two rounds of filtering with Delphi methods and assign weight for indicators with AHP. Results：This paper builds an evaluation system for public hospital composed of 3 first- degree indicatorsincluding social benefit，quality safety（QS）and benefit andefficiency，as well as 13 second-degree indicators and 72 third-degree indicators. Conclusions：The evaluation system which is led by publicwelfare of public hospital and pays special attention to the quality of medical treatment，can have some certain reference to the evaluation for public hospital.