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目的本研究以着重解决提升县级公立医院服务能力为核心,建立科学性、可操作性和实效性的考核指标体系。方法运用Delphi法,构建县级公立医院大病不出县考核指标体系。结果筛选出医德优、技术优、服务优、机制优、收费平价,也即“四优一平”5个一级考核指标,并确定14个二级指标及权重,发现技术先进始终是推进县级公立医院改革发展的关键性因素。结论 “四优一平”指标体系可为建立实现大病不出县的可持续发展运行机制提供参考依据。
Objective This study focused on improving the service ability of county-level public hospitals as the core, establishing a scientific, operational and effective evaluation index system. Methods Delphi method was used to establish a county-level public hospitals seriously ill county assessment index system. The results screened 5 excellent indicators, including 5 excellent indicators, 1 excellent indicator, 2 superior indicators, and 2 indicators, and found that advanced technology was always advancing Key Factors in the Reform and Development of County Public Hospitals. Conclusion “Si You You Ping ” index system can provide a reference for establishing a sustainable development operation mechanism for not catching serious illness.