【摘要】：目的:本研究借鑒JCI國際標準、ISO國際標準和等級醫(yī)院評審標準的思想,以ISO9001—2015版本作為模板構(gòu)建醫(yī)療設(shè)備管理能力評價指標體系,并確定各指標權(quán)重。在此基礎(chǔ)上,借鑒CMM能力成熟度的思想,運用ISO9001質(zhì)量管理成熟度通用模型進行醫(yī)療設(shè)備管理能力成熟度評價,解決等級醫(yī)院評審和JCI評審等達標性評審的不足和局限性,分析醫(yī)院設(shè)備管理部門設(shè)備管理水平,同時為醫(yī)院內(nèi)部評審和政府等第三方組織評價提供一定的參考依據(jù)。方法:查閱文獻,了解醫(yī)療設(shè)備管理現(xiàn)狀及管理能力評估辦法,初步構(gòu)建醫(yī)療設(shè)備管理能力評估指標體系;通過兩輪Delphi修改和完善醫(yī)療設(shè)備管理能力評估指標體系;運用AHP計算各指標權(quán)重并賦予相應(yīng)分值;根據(jù)ISO9001質(zhì)量管理成熟度通用模型及評審指南,對每個指標打分,并計算各指標得分之和,即成熟度評價。利用Excel2003、SPSS l3.0軟件進行數(shù)據(jù)處理分析。結(jié)果:1.醫(yī)療設(shè)備管理能力評估指標體系的構(gòu)建通過兩輪專家咨詢對指標條目進行修改與篩選,最終構(gòu)建醫(yī)療設(shè)備管理能力評估指標體系,包括7個一級指標:背景及環(huán)境、領(lǐng)導(dǎo)作用、核心管理流程及程序、人員能力、設(shè)備文件管理、績效評價及改進、質(zhì)量安全文化,25個二級指標。2.德爾菲評價指標結(jié)果兩輪專家咨詢結(jié)果顯示,專家的積極系數(shù)為1、0.96,專家積極性較高;熟悉程度系數(shù)、判斷系數(shù)和權(quán)威系數(shù)分別為0.71、0.92、0.81,專家咨詢權(quán)威程度較高。兩輪專家咨詢的協(xié)調(diào)系數(shù)分別為0.234、0.245,專家意見協(xié)調(diào)性較好,對指標認可度較高。3.醫(yī)療設(shè)備管理能力評估指標體系權(quán)重的設(shè)置通過AHP得出醫(yī)療設(shè)備管理能力評估指標體系各條目的權(quán)重得分,其中一級指標所的權(quán)重為背景及環(huán)境(0.0585)、領(lǐng)導(dǎo)作用(0.2285)、核心管理流程及程序(0.2786)、人員能力(0.1630)、設(shè)備文件管理(0.0455)、績效評價及改進(0.1337)、質(zhì)量安全文化(0.0922)。4.醫(yī)療設(shè)備管理能力評估指標體系的檢驗指標體系信度和效度檢驗結(jié)果顯示,總指標體系的分半信度為0.787,克朗巴赫系數(shù)為0.879,各一級指標與總指標體系的相關(guān)系數(shù)在0.627-0.819之間,指標體系的內(nèi)容具有較好的信度和效度。5.醫(yī)療設(shè)備管理能力評估指標體系的成熟度評價及實例分析在構(gòu)建指標體系及設(shè)置權(quán)重的基礎(chǔ)上,提出對醫(yī)療設(shè)備管理能力進行成熟度評價,采用中國質(zhì)量協(xié)會發(fā)布的ISO9001質(zhì)量管理成熟度評價準則中的成熟度評價通用模型及基本評價方法,結(jié)合具體數(shù)據(jù)進行了實例分析。結(jié)果顯示,天津市A醫(yī)院設(shè)備管理能力成熟度總體得分為740.97,該院設(shè)備管理能力處于第四等級,即管理級。結(jié)論:構(gòu)建了醫(yī)療設(shè)備管理能力評估指標體系,并確了定指標權(quán)重,運用成熟度評價方法,進行醫(yī)療設(shè)備管理能力成熟度評估的實例研究。指標體系構(gòu)建的專家咨詢結(jié)果可靠,信度和效度較好,能夠為我國醫(yī)院醫(yī)療設(shè)備管理能力的評估及評價提供參考依據(jù)。
[Abstract]:Objective: based on the ideas of JCI international standard, ISO international standard and grade hospital evaluation standard, this study uses ISO9001-2015 version as template to construct the evaluation index system of medical equipment management ability, and to determine the weight of each index. On this basis, drawing lessons from the idea of CMM capability maturity, the general model of ISO9001 quality management maturity is used to evaluate the capability maturity of medical equipment management, to solve the shortcomings and limitations of standard evaluation such as grade hospital evaluation and JCI evaluation, to analyze the equipment management level of hospital equipment management department, and to provide some reference for hospital internal evaluation and government and other third-party organization evaluation. Methods: consult the literature, understand the present situation of medical equipment management and the evaluation method of management ability, initially construct the evaluation index system of medical equipment management ability, modify and perfect the evaluation index system of medical equipment management ability through two rounds of Delphi, calculate the weight of each index and give the corresponding score through two rounds of AHP. According to the general model and evaluation guide of ISO9001 quality management maturity, each index is scored and the sum of each index score is calculated, that is, maturity evaluation. The data processing and analysis are carried out by using Excel2003,SPSS l3.0 software. Result: 1. The construction of medical equipment management ability evaluation index system through two rounds of expert consultation to modify and screen the index items, and finally construct the medical equipment management ability evaluation index system, including seven first-level indicators: background and environment, leadership, core management processes and procedures, personnel capacity, equipment file management, performance evaluation and improvement, quality and safety culture, 25 secondary indicators. 2. The results of two rounds of expert consultation showed that the positive coefficient of experts was 1, 0.96, and the enthusiasm of experts was higher, and the familiarity coefficient, judgment coefficient and authority coefficient were 0.71, 0.92 and 0.81, respectively. The coordination coefficients of the two rounds of expert consultation are 0.234 and 0.245. the coordination of expert opinion is better and the degree of approval of the index is higher. The weight setting of medical equipment management ability evaluation index system through AHP, the weight score of each item of medical equipment management ability evaluation index system is obtained, in which the weight of the first level index is background and environment (0.0585), leadership role (0.2285), core management process and procedure (0.2786), personnel ability (0.1630), equipment file management (0.0455), performance evaluation and improvement (0.1337). Quality and safety culture (0.0922). 4. The reliability and validity of the evaluation index system of medical equipment management ability were tested. The results showed that the split-half reliability of the total index system was 0.787, the Cronbach coefficient was 0.879, the correlation coefficient between the first grade index and the total index system was 0.627 鈮，

本文編號：2500003