基于360度反馈评价法和犹豫模糊集理论的合理用药评价模型建立-中国药房

基于360度反馈评价法和犹豫模糊集理论的合理用药评价模型建立

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篇名：	基于360度反馈评价法和犹豫模糊集理论的合理用药评价模型建立
TITLE：
摘要：	目的：建立全方位、多角度的医疗机构合理用药评价模型，为提高医疗机构的合理用药水平提供方法支持。方法：基于360度反馈评价法，以同级医院、上级监管机构、患者为多角度评价主体，针对医疗机构不合理用药现象及影响因素，构建包含3个评价主体、6个一级指标及15个二级指标在内的合理用药评价指标体系；同时结合犹豫模糊集理论对评价主体给出的模糊、不确定性评价语言信息进行综合量化处理，通过犹豫模糊数得分函数公式计算被评价医疗机构合理用药的总评价得分，并根据该分值的高低判定医疗机构合理用药水平（总评价得分越高，则合理用药综合水平越高）。结果：建立了全方位、多角度的医疗机构合理用药评价模型，该模型根据基于360度反馈评价法构建的评价指标体系，确定了评价主体、评价指标权重，划分了指标评分等级，集结了各级指标的犹豫模糊数并对一级指标进行加权，最终计算获得医疗机构合理用药的总评价得分；通过算例演示证明该模型可行。结论：基于360度反馈评价法和犹豫模糊集理论建立的医疗机构合理用药评价模型能更加全面、有效地对医疗机构合理用药水平作出评价，有助于医疗机构针对性地规范和改进临床用药行为。
ABSTRACT：	OBJECTIVE： To establish a comprehensive and multi-angle evaluation model for rational drug use in medical institutions， and to provide support for rational drug use in medical institutions. METHODS： Referring to the phenomenon of irrational drug use and its influential factors in medical institutions， rational drug use evaluation indicator system， which contained 3 evaluation subjects， 6 first-level indicators and 15 second-level indicators， was established on the basis of 360-degree Feedback Method， with hospitals at the same level， superior regulation department and patient as subjects of multi-angle evaluation. At the same time， the linguistic information of vague and uncertain evaluation given by the evaluation subject was comprehensively quantified by Hesitant Fuzzy Sets Theory. The total evaluation score of rational drug use in the evaluated medical institutions was calculated by using the score function formula of hesitant fuzzy number； the level of rational drug use in medical institutions was determined according to the score （the higher the total score， the higher the comprehensive level of rational drug use）. RESULTS： An all-round and multi-angle evaluation model of rational drug use in medical institutions was established. According to the evaluation index system based on 360-degree feedback evaluation method， the evaluation subject and weight of evaluation index were determined， the grade of evaluation index was divided， the hesitant fuzzy numbers of each index were gathered， and the first-level index was weighted. Finally， the total evaluation score of rational drug use in medical institutions was calculated； the examples were set to prove the feasibility of the model. CONCLUSIONS： The established evaluation model for rational drug use in medical institutions based on 360-degree Feedback Method and Hesitant Fuzzy Sets Theory can comprehensively and effectively evaluate the rational drug use in medical institutions， and contribute to standardizing and improving clinical drug use behavior in medical institutions.
期刊：	2019年第30卷第2期
作者：	王文杰，刘玉颖，黄哲
AUTHORS：	WANG Wenjie，LIU Yuying，HUANG Zhe
关键字：	360度反馈评价法；犹豫模糊集理论；合理用药；指标体系；评价模型
KEYWORDS：	360-degree Feedback Method； Hesitant Fuzzy Sets Theory； Rational drug use； Index system； Evaluation model
阅读数：	407 次
本月下载数：	11 次

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