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军队医院合理医疗用药政策执行效果评估指标体系的构建
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| 篇名： | 军队医院合理医疗用药政策执行效果评估指标体系的构建 |
| TITLE： | |
| 摘要： | 目的：构建军队医院合理医疗用药政策执行效果评估指标体系。方法：运用文献资料分析及专家咨询、改良德尔菲法、层次分析等方法构建评估指标体系及权重，经实验性评估验证指标体系的可行性。通过对比军队患者与地方医保患者用药水平差距，评估军队医院合理医疗用药政策执行效果。结果与结论：指标体系包括合理性、可及性、经济性这3个一级指标、10个二级指标和20个三级指标。对176家军队医院进行实验性评估的结果显示，经济性指标得分率与合理性、可及性指标相比差值分别为3.12％、4.06％；师级医院一级指标平均得分率差值比团级医院高21.6％。该指标体系解决了传统评价中数据不真实、评估不全面、检查不彻底等问题，提高了评估的信息化水平，实现了长期动态监管和远程评估。 |
| ABSTRACT： | OBJECTIVE： To construct the evaluation index system for the effects of rational drug use policy in the military hospital. METHODS： Based on methods like literature analysis， expert consultation， modified Delphi method， analytic hierarchy process （AHP）， the evaluation index system was constructed and the weight of indicators was calculated. The feasibility of the index system was verified by experimental evaluation. Through comparing drug use level between military patients and local insurance for medical care， the effects of rational drug use policy were evaluated in military hospital. RESULTS & CONCLUSIONS： The index system includes 3 first-level indexes as rationality， accessibility， economics， 10 second-level indexes and 20 third-level indexes. The results of the experimental evaluation in 176 military hospitals show that the economic indexes scoring rate is lower than the reasonable indexes and the availability indexes， and the difference value are 3.12％ and 4.06％； the first-level indexes average scoring rate of divisional hospital is higher than that of regimental hospital， and the difference value is 21.6％. The index system solves the problems of false data， incomplete evaluation， inadequate check， improves informatization level of evaluation， and realizes long-term dynamic monitoring and remote evaluation. |
| 期刊： | 2017年第28卷第4期 |
| 作者： | 宋继辰，储藏，吴东，蒯丽萍 |
| AUTHORS： | SONG Jichen，CHU Cang，WU Dong，KUAI Liping |
| 关键字： | 军队医院；军队合理医疗用药政策；效果评估；改良德尔菲法；层次分析法；评估指标体系 |
| KEYWORDS： | Military hospital； Military rational drug use policy； Effect evaluation； Modified Delphi method； Analytic hierarchy process； Evaluation index system |
| 阅读数： | 503 次 |
| 本月下载数： | 12 次 |
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