Research On The Evaluation Index System Of Service Capacity Of County-level General Hospitals In Tibet Autonomous Region

Background:Since the peaceful liberation of Tibet has been 60 years,the medical service system has made great changes;county-level medical service capacity has been greatly improved,but compared with the mainland county-level hospitals,there is still a big gap.The Sixth Tibet Work Symposium has put forward higher requirements for medical service capacity in Tibet,in which the upgrading of medical service capacity at county level hospitals is an indispensable part.At present,the administrative departments of the county hospitals in the Tibet Autonomous Region are not perfect.In addition,the lack of medical and technical personnel such as testing and anesthesia,only a few county people’s hospitals can carry out lower abdominal surgery,cannot meet the residents’ health service needs.Therefore,according to the status quo of county-level hospital service capacity,we should construct a set of evaluation index system suitable for the county-level hospitals in the Tibet Autonomous Region,and encourage and restrict the service capacity of the county hospitals to promote the service ability.Aim:Based on the literature research,this paper constructs the evaluation index system of service ability of Tibetan county general hospital by using quantitative and qualitative research methods,and uses the index system to evaluate the service ability of the hospital.Method:The evaluation index system was determined by literature analysis,focus group interview and expert consultation method.The weight of index was determined by fuzzy mathematics comprehensive evaluation method.Content:Based on the system theory and structure-process-result theory,literature research,focus group interview and expert consultation method to determine the evaluation index,the fuzzy mathematics comprehensive evaluation method is used to calculate the scores and weights of each index.Results:(1)Delphi expert consultation method selected 27 experts familiar with the service capacity of Tibetan county hospitals,the first round of experts positive coefficient of 100%,the second round of the positive coefficient of 88.89%of experts,the authority of a level of>0.82.(2)The index system identified by expert consultation and other methods includes six first-level indicators,12 second-level indicators and 58 three-level indicators of infrastructure,human resources,medical treatment,medical services,medical management and economic management.(3)According to the index of the importance,operability and sensitivity of the experts,the membership degree of the weight calculation is obtained,and the weight of the index is calculated by the fuzzy mathematics comprehensive evaluation.The weight of the primary index is 0.171179,the human resources 0.162567,medical treatment subjects 0.165230,medical services 0.173903,medical management 0.170197,economic management 0.156926.Conclusion:(1)It is reasonable and feasible to construct the index system from six aspects:infrastructure,human resources,medical treatment,medical service,medical management and economic management.(2)The experts selected in this study specific representative,positive coefficient and authority coefficient is higher,the index selection is reasonable.(3)On the basis of the expert score,the fuzzy comprehensive evaluation method is used to calculate the weight of the index,and the method is feasible and the result is credible.