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The aim of the present study was to define the concept of credit and public hospitals credit for the status of their credit rating, and analysis of the characteristics of public hospitals credit evaluation, determine the indicators and the weight of the credit evaluation system, and thus construct a more targeted, more practical the credit evaluation index system of urban public hospitals, credit rating agencies to provide a hospital evaluation tools, so as to strengthen the government's macro-control decision-making, and guide the medical institutions to enhance their credit profile, standardize the order of the medical market, the real protection of medical institutions in their own health, effective, runs continuously and ultimately drive our health-round rapid development of purpose. Method 1. Literature study by the Medline, CBM, CNKI disc Search Tools, Internet network access to domestic and foreign credit evaluation monographs and academic literature, the study of domestic and foreign credit evaluation and summarized, delineation of hospitals the concept of credit, analyze the hospital credit rating and the difference between the corporate credit rating. 2 Delphi method to select with extensive experience in the relevant field of study, 23 experts, mainly from the Ministry of Health, the Health Bureau of the city (district), College of Health School of Management, the leadership of the public hospitals, the Centers for Disease Control and other research departments. According to various experts in education, job title, professional background, work experience in health management the computing experts familiar coefficient, coefficient of determination and authority coefficient, and experts to conduct two rounds of expert consultation, to filter the primary indicators. 3.AHP method (Analytic Hierarchy Process) to use the Delphi method experts scoring a weight of two indicators, combined with the Analytic Hierarchy Process (Analytic Hierarchy Process, AHP) to calculate the three indicators weight, thus forming a credit evaluation index model. Questionnaire select four public hospitals in Wuhan, Hubei Province Tumor Hospital, Tongji Hospital, Union Hospital and provincial Xinhua Hospital, hospital questionnaire, medical staff satisfaction survey, patient satisfaction and reactivity investigation table, random survey of 129 medical staff and 276 patients, collect data, and analyzed the raw data, in accordance with the rights of the indicators at all levels re-calculate the credit value of each sample hospitals. 5. Statistical methods to establish a database entry and storage of data, statistical analysis, test the reliability and validity of the index system. Reliability, reliability, which refers to the degree of consistency of the results obtained in repeated measurements of the same object using the same method. In this study, CITIC analysis methods Krona Bach (Cronbach) alpha coefficient method. Validity of validity, it refers to measuring instruments or means to accurately measure the extent of the things desired measurement. Calculated in this study content validity of the expert evaluation method. Results 1 Hospital credit to the hospital in life-saving, disease prevention and control, performing their duties in the ability to protect citizens' health and related activities as a social evaluation, this evaluation is the exchange of medical services and service on the basis of , and inside and outside the hospital environment, basic quality, business management and social reactions as the main content, to provide health care to patients and society through its inherent specialized services, medical conditions, technical equipment, the emergency relief, dealing with incidents and accidents case work to improve the hospital market competitiveness, enhance the power of hospital development, improve community hospital job satisfaction goals. (2) the characteristics of the public hospitals Feedback: great importance to the interests of the hospital at the same time, pay more attention to long-term development prospects; efforts to resolve the current first aid at the same time, pay more attention to the far-reaching exploration of the human health; focus on investment in health resources, pay more attention to the rational use of limited health resources; coverage focus on quantity at the same time, pay more attention to the improvement of the quality of medical care; focus on economic efficiency at the same time, pay more attention to the social benefits of the hospital. 3 credit evaluation index system of urban public hospitals is divided into three levels. The first level is run based on clinical effect, the dominant effect of the three credit dimension; second level is the secondary indicators, the basis of which run two dimensions of the basic quality and development potential, clinical effects, including the efficiency and quality of medical care two dimension, the dominant effect of two dimensions of social benefits and social reaction; third level credit indicators, a total of 28 indicators. (4) for the overall coordination of the first round of expert advice coefficient is 0.276, the coordination coefficient chi-square test P value less than 0.05; overall coordination of the second round of expert advice coefficient is 0.326, the coordination coefficient chi-square test P value less than 0.05, the second round of expert advice the degree of coordination between the experts better than the first round, with desirable results. 5 index system reliability and validity analysis, overall Krona Bach alpha coefficient of 0.6524, moderate acceptable reliability, content validity score of 0.76, is ideal. Conclusions public hospitals credit hospital to heal the sick, to prevent and cure diseases, a social evaluation of performing their duties in the ability to protect citizens' health and related activities. Credit dimensions include running basic, clinical effects and dominance effect. 2 credit evaluation index system of urban public hospitals have good reliability and validity, and can be more effective and reliable evaluation of the credit situation of public hospitals. 3 credit evaluation index system of urban public hospitals operability strong credit metrics data collection more convenient, simple credit results. 4 credit evaluation index system of urban public hospitals can reflect the overall level of credit, credit can also run basic, clinical effect, the dominant effect of three local analysis results provide the basis for credit management.
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