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[目的]对四川省二、三级医院间的科技能力进行比较。[方法]采用分层随机抽样的方法抽取54家医院(其中三级医院12家、二级医院42家)进行问卷调查。根据已经建立的医院科技能力评价指标体系,以功效系数法为基础,运用线性加权法综合评价被调查医院的科技能力。[结果]三级甲等医院科技能力评分明显高于三级乙等、二级甲等和二级乙等医院(P<0.05)。二级甲等医院与二级乙等医院之间的科技综合能力评分无统计学差异(P>0.05)。在科技投入、科技管理及活动方面,三级甲等医院与三级乙等医院之间无统计学差异;二级甲等医院与二级乙等医院之间也无统计学差异(P>0.05)。但科技产出方面,三级甲等医院评分明显高于三级乙等医院的评分(P<0.05);三级乙等医院的科技产出与二级甲等、二级乙等医院间无统计学差异(P>0.05)。[结论]三级甲等医院与三级乙等医院在科技投入方面无差异,但在科技产出方面三级甲等医院却明显高于三级乙等医院。三级乙等医院应加强科研产出的能力,带动医院的临床发展。
[Objective] To compare the scientific and technological abilities among the second and third level hospitals in Sichuan Province. [Methods] 54 hospitals (including 12 tertiary hospitals and 42 secondary hospitals) were surveyed by stratified random sampling method. According to the established evaluation index system of scientific and technological capabilities in hospitals, the functional coefficient method is used as the basis to evaluate the scientific and technological capabilities of the investigated hospitals comprehensively by using linear weighted method. [Results] The scores of science and technology ability of Grade Three First Class Hospitals were significantly higher than those of Grade Three B, Grade Two and Grade Two B hospitals (P <0.05). There was no significant difference in comprehensive ability of science and technology between Grade A and Grade B hospitals (P> 0.05). There was no significant difference between Grade A hospitals and Grade B hospitals in terms of investment in science and technology, technology management and activities. There was also no significant difference between Grade A and B hospitals (P> 0.05 ). However, in terms of output of science and technology, the scores of tertiary first-class hospitals were significantly higher than those of tertiary hospitals (P <0.05). The output of tertiary-level hospitals was similar to that of secondary hospitals, secondary hospitals and secondary hospitals Statistical difference (P> 0.05). [Conclusions] There is no difference in science and technology investment among Grade-3 Hospitals and Grade-III B hospitals, but Grade-3 Hospitals are obviously higher than Grade-III-B hospitals in output of science and technology. Grade B hospitals should strengthen the ability of scientific research output, promote the clinical development of the hospital.