| 引用本文：张宁,陈开元,徐晗艺,等.我国公立医院医防融合评价指标体系构建[J].中国卫生政策研究,2026,19(1):33-39 |
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| 我国公立医院医防融合评价指标体系构建 |
| 投稿时间：2025-10-03 修订日期：2025-12-20 PDF全文浏览 HTML全文浏览 |
| 张宁1,2，陈开元1,2，徐晗艺1,2，黄晶3，蔡洁3，王一然1,2，张怡淳子1,2，刘民4，梁万年1,2,5 |
| 1清华大学万科公共卫生与健康学院 北京 100048;2清华大学健康中国研究院 北京 100048;3中国医学科学院北京协和医院医院感染管理处 北京 100730;4北京大学公共卫生学院 北京 100039;5南方科技大学全科医学院 广东深圳 518055 |
| 摘要:目的 构建公立医院医防融合评价指标体系，为推动医疗服务从“以疾病为中心”向“以健康为中心”转变提供科学决策参考和借鉴。方法 运用德尔菲法，邀请36位公共卫生管理、预防医学及健康大数据管理与服务的多领域资深专家构建指标体系，并通过权威系数、协调系数确保科学性，进一步基于专家得分确定权重。结果 专家反馈的两轮积极系数均大于95%，权威系数为0.874；第二轮专家咨询肯德尔协调系数分别为0.90、0.88和0.88，差异有统计学意义。通过两轮专家咨询，最终确定了由组织领导、工作内容、协同机制、投入绩效和外部政策5个一级指标、18个二级指标和42个三级指标构建的公立医院医防融合评价指标体系。结论 本研究构建了公立医院医防融合评价指标，对进一步开展公立医院医防融合评价提供参考和工具，对完善公立医院体制机制和提升运行效率具有重要现实指导意义。 |
| 关键词:公立医院 医防融合 评价指标体系 |
| 基金项目:国家自然科学基金专项项目（72441022） |
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| Construction of an evaluation index system for integration of medical and preventive care in public hospitals in China |
| ZHANG Ning1,2, CHEN Kai-yuan1,2, XU Han-yi1,2, HUANG Jing3, CAI Jie3, WANG Yi-ran1,2, ZHANG Yi-chun-zi1,2, LIU Min4, LIANG Wan-nian1,2,5 |
| 1Vanke School of Public Health， Tsinghua University， Beijing 100048， China;2Institute for Healthy China， Tsinghua University， Beijing 100048， China;3Department of Hospital Infection Control， Peking Union Medical College Hospital， Chinese Academy of Medical Science， Beijing 100730， China;4School of Public Health， Peking University， Beijing 100039， China;5School of General Practice， Southern University of Science and Technology， Shenzhen Guangdong 518055， China |
| Abstract:Objective The construction of an evaluation index system for the integration of medical and preventive care in public hospitals offers scientific evidence and policy references to promote the transition of healthcare delivery from a disease-centered to a health-centered model.Methods Using Delphi method， we convened a panel of 36 experts from multiple fields， including public health administration， preventive medicine， and health big data management and services， to construct the system. The scientific rigor of the indicators was ensured through assessments of expert authority coefficients and coordination coefficients. Subsequently， the weighting of indicators was established according to the aggregated expert scores.Results Across two rounds of expert consultation， the response rates exceeded 95%， and the overall expert authority coefficient reached 0.874. Kendall’s coefficients of concordance were 0.90， 0.88 and 0.88 in the second round， respectively， with statistically significant differences. Following the Delphi process， a comprehensive evaluation index system was finalized， comprising five first-level dimensions （organizational leadership， work content， coordination mechanisms， input and performance， and external policy environment）， 18 second-level indicators， and 42 third-level indicators.Conclusions This study develops an evaluation index system for the integration of medical and preventive care in public hospitals， providing practical tools to support systematic assessment. The system has direct policy relevance for strengthening institutional arrangements and improving the operational efficiency of public hospitals. |
| Key words:Public hospitals Integration of medical and preventive care Evaluation index system |
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