Construction of evaluation index system for perioperative medical service efficiency based on value healthcare
10.3760/cma.j.cn111325-20240122-00055
- VernacularTitle:基于价值医疗的围术期医疗服务效能评价指标体系构建
- Author:
Yao YAO
1
;
Zhu ZHU
;
Yujie CUI
;
Yankun SUN
;
Wei LUAN
;
Jiangang SONG
Author Information
1. 上海交通大学医学院，上海 200025
- Keywords:
Perioperative period;
Medical services;
Service efficiency;
Evaluation index;
Value-based healthcare
- From:
Chinese Journal of Hospital Administration
2024;40(9):682-686
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an evaluation index system for the perioperative medical service efficiency.Methods:From September to November 2023, this study conducted literature search and research group discussions to select initial indicators for evaluating the efficiency of perioperative medical services guided by value-based healthcare; 2-round Delphi methods were used to construct an evaluation index system for perioperative medical service efficiency, and the weights of the indicators were determined using the analytic hierarchy process.Results:The expert motivation for both rounds of Delphi method was 100.00%, the expert authority coefficient was 0.94, and the Kendall coordination scores were 0.56 and 0.75, respectively. The final established evaluation index system for perioperative medical service efficiency included 2 primary indexes, 9 secondary indexes, and 41 tertiary indexes. The first level indexes included medical quality and medical cost, with relative weights of 66.67% and 33.33%, respectively. Among them, medical quality included 7 secondary indexes: medical management, medical safety, service mode, information construction, patient outcomes, service efficiency, and satisfaction; Medical costs include 2 secondary indiexes: patient costs and medical institution costs.Conclusions:The evaluation index system for the efficiency of perioperative medical services reflected the connotation of value-based healthcare and could comprehensively and objectively evaluate the efficiency of perioperative medical services.
