|
Objective performance evaluation system for hospital-related literature review, analysis, development potential delineation of hospitals and other related concepts, and learn from China's enterprises development potential evaluation system related research, using a combination of qualitative and quantitative analysis method to construct a suitable for China hospital development potential evaluation system. Then through empirical analysis, inspection of the evaluation system reliability and validity, in order to evaluate the potential for the development of the hospital to provide a reference. Method 1. Literature review through access CNKI, 维普, Pubmed and other network database to understand the business development potential evaluation and hospital performance evaluation overview, and to summarize, to define the concept of hospital development potential, potential evaluation of hospital development and enterprise evaluate potential differences, screening of hospital development potential primaries index evaluation system. 2 Delphi Delphi method is mainly used for hospital development potential evaluation of qualitative and quantitative indicators of screening, grading and evaluation of the combined effect of the determination of grading standards. Select 13 long engaged in hospital management, public health and other aspects of theoretical research experts and the health administration department officials and senior hospital management with practical work experience hospital executives by two expert advice, completed the initial hospital development potential evaluation indicators screening, and ultimately determine the potential for development of the hospital evaluation system architecture. 3 fuzzy comprehensive evaluation fuzzy comprehensive evaluation model based on Delphi method, expert scoring, calculation of hospital development potential evaluation index system at all levels of index weights, thereby forming a hospital development potential evaluation index system. 4 questionnaires select a hospital in Henan, Hubei Province, two hospitals, the use of the basic situation of the hospital has been designed questionnaire, medical staff and patients agree that the questionnaire responses of the questionnaire, a random survey of 109 health care workers and 126 patients, collected relevant data. 5 using SPSS13.0 statistical methods to establish a database to store data entry, through statistical analysis, testing index system reliability and validity. In this study, the index system reliability analysis using krone Bach α coefficient method, validity (content validity) test using expert evaluation method. Results 1 of this study is that the development potential of the hospital hospitals to reduce financial risk, customer service, marketing win, internal operations, learning and innovation, and other aspects of social support can be expected to possess comprehensive value production capacity. This capability in the hospital with the patient's medical interaction generated in the process, and the basic quality of the hospital, management mode, operation mechanism and social responsiveness as the main content. By providing a high level of medical services, efficient hospital resource integration and a high standard of social responsibility to fulfill, to consolidate its position in the market and win patients, staff and the community tripartite praise, so as to enhance the sustainable development of the hospital's organizational power development goals. (2) the development potential of hospital evaluation system indicators are divided into three, an index into the ability to resist financial risks, customer service capabilities, the ability to win over the market, internal operations, learning innovation and social support six levels. Among them, the ability to withstand financial risk consists of profitability, operational capacity, solvency, capacity development four two indicators; customer service capabilities under the overall service quality, overall satisfaction, patient complaints three two indicators; market win Under the local medical capacity Market share, market share, the same level hospital case, two other towns patient treatment situation three indicators; internal operational capabilities under the staff level, the business level, information level, management level four two indicators; learning innovative teaching and training and research and innovation under the two secondary indicators; social support under the government support and the masses support two two indicators; three indicators specific evaluation, a total of 46. 3 This study surveyed experts on indicators of familiarity with both familiar and very familiar in between, from the expert's authority coefficient of view, the first round of expert advice surveyed 12 experts on the six-level indicators authority coefficient minimum value of 0.7667 and a maximum of 0.8750, indicating that this institute consultants selected a higher degree of authority, reached statistical requirements. 4 in the expert consultation, the surveyed experts on the importance of an indicator, operability, sensitivity coefficients were three aspects of coordination 0.276,0.215,0.320 The P value is less than 0.05, the result is preferable. 5 on the index system reliability and validity analysis, the overall krone Bach α coefficient was 0.6512, reliability moderate, acceptable content validity score of 0.649, more desirable. Conclusion 1 This study suggests that the particularity of hospital development potential evaluation in that: (a) focus on the natural properties of the hospital, more attention the hospital's social attributes, whether non-profit hospitals, or for-profit hospitals, critical evaluation of its development potential factor in its ability to heal the sick, and the non-profit capacity; (2) focus on the development of the current interests of the hospital, and more focus on its long-term development prospects and potential upgrade; (3) the focus on government health spending at the same time, pay more attention to the limited hospital rational allocation of resources and efficient use; (4) the number of extended coverage in focus at the same time, pay more attention to continuous improvement of quality of hospital care; (5) focus on hospitals economic benefits, pay more attention to patient satisfaction and other aspects of social responsiveness social benefits. (2) to enhance the development potential of the hospital from the following aspects: (1) optimize the diagnosis and treatment process, correct service attitude, improve patient satisfaction; (2) to clear the lower levels of communication channels to focus on employee career planning, enhance employee identity ; (3) to establish and improve the supervision and inspection of hospital information disclosure mechanism to implement hospital information disclosure system; (4) will learn organizational culture as the core research, teaching and training, and to increase investment in medical research; (5) improve the level of medical technology, develop national key specialties. Innovation and lack of innovation: This proposed hospital development potential evaluation, and hospital development potential connotation defined, given the current domestic and foreign scholars on the evaluation of multi-hospital integrated performance for the hospital, so this paper constructed an index system itself is a innovation. Inadequate research: on-site verification sample size less than normal, sample representativeness may not be strong; certain sensitive information may belong approximate indicator data information; conducted only two expert advice, in the evaluation dimensions, index options and index structure and so there are still some defects.
|