上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（卫生事业管理） • 上一篇    下一篇

组建兵团区域性医院集团可行性分析评价指标体系的初步研究

李 辉1，盛红彬2，井明霞1   

  1. 1.石河子大学  医学院预防医学系， 石河子 832000； 2.上海交通大学  医学院附属第三人民医院医务部， 上海 201900
  • 出版日期:2013-10-28 发布日期:2013-10-31
  • 通讯作者: 井明霞, 电子信箱: jingmingxia126@126.com。
  • 作者简介:李 辉(1987—)， 男， 硕士生; 电子信箱: climber1203@gmail.com。

Preliminary research on construction of regional hospital group feasibility evaluation index system in Xinjiang Production and Construction Corps

LI Hui1, SHENG Hong-bin2, JING Ming-xia1   

  1. 1.Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China； 2.Department of Medical Affairs, the Third People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201900, China
  • Online:2013-10-28 Published:2013-10-31

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摘要：

目的 建立以兵团为例的纵向区域性医院集团可行性评价指标体系。方法 建立纵向区域性医院集团可行性评价指标体系的构建原则，通过文献分析和焦点组访谈构建理论框架，采用德尔菲专家咨询法构建兵团医院集团可行性评价指标体系。结果 对20篇入选文献的研究发现，战略分析工具在评价医院集团可行性时被广泛应用；焦点组访谈则发现产生垄断、规模不经济、基层医疗机构运行与管理体制是建立医院集团时可能出现的问题；德尔菲专家咨询法最终筛选确定4个一级指标（区域外部环境、核心医院内部环境、成员医院内部环境以及合作条件）、27个二级指标和49个三级指标及其权重。结论 组建兵团区域性医院集团评价指标体系为医院集团合作可行性评价提供了测量工具。

关键词: 医院集团, 纵向整合, 可行性评价, 德尔菲专家咨询法法, 指标体系

Abstract:

Objective To construct the longitudinal regional hospital group feasibility evaluation index system with Xinjiang Production and Construction Corps as example. Methods The construction principle of longitudinal regional hospital group feasibility evaluation index system was established, the theory frame was designed through literature review and focus group interview, and hospital group feasibility evaluation index system in Xinjiang Production and Construction Corps was formed with Delphi method. Results Review of 20 literatures indicated that strategic analysis tools were widely employed in the evaluation of feasibility of hospital group. Focus group interview revealed that monopoly, diseconomies of scale, operation and management of primary health care institutions were potential problems for hospital group. Four primary indicators (regional outer environment, core hospital inner environment, member hospital inner environment and cooperation condition), 27 secondary indicators, 49 tertiary indicators and their weights were finally determined after Delphi method. Conclusion Construction of hospital group feasibility evaluation index system in Xinjiang Production and Construction Corps provides a measurement tool for evaluation of feasibility of hospital group.

Key words: hospital group, vertical integration, feasibility evaluation, Delphi method, index system