公立医院社会评价适宜主体的选择及组成架构研究.docVIP

专题系列文章4 公立医院社会评价适宜主体的选择及组成架构研究? 作者单位：310036 杭州，杭州师范大学医学院卫生事业管理系（钱宇、王小合、陈仕学、张萌、黄仙红、冯婉）；杭州市职业病防治院(曹承建) 通信作者：王小合，Email：xhewang@163.com 王小合 曹承建 陈仕学 张萌 黄仙红 冯婉 【摘要】目的 探讨与公立医院社会指标体系相互契合及相符的适宜评价主体及组成构架，为科学、公正、客观地开展其社会评价实践并提高治理效果提供依据。方法 运用文献资料、专家咨询以及综合评价法，对政府相关公务人员、医务工作者、社会专业组织、患者和家属、社会公众及公共媒体代表等六类评价主体进行优劣势分析及适宜性排序及分类。结果 与“支持-过程-结果”不同维度评价指标相互契合和相符评价主体的适宜性排序存在差异，支持维度前三位适宜评价主体依次为社会专业组织、社会公众、医???工作者；过程维度前三位适宜评价主体依次为社会专业组织、政府相关公务人员、社会公众；结果维度适宜评价主体依次为社会专业组织、社会公众、政府相关公务人员。结论 建立由政府委托社会第三方专业组织独立代理并主导，积极吸纳患者及家属、公众及社会观察员、公共媒体等代表参与，政府及相关部门和公立医院给予协调和协同配合的多元组合评价主体及机制比较符合我国当前实际。 【关键词】公立医院；社会评价；评价主体；组成架构 基金项目：国家自然科学基金面上项目 The research on selection and component architecture of public hospitals social evaluation appropriate subject Qian Yu, Wang Xiao-he*，Cao Cheng-jian，Chen Shi-xue，ZhangMeng, Huang Xian-hong, Feng Wan. Medical Collage of Hangzhou Normal University，Hangzhou 310036,China Corresponding author: Wang Xiao-he, Email:xhewang@163.com 【Abstract】 Objective To explore the suitable public hospitals social assessment subject that fit and match to public hospital social evaluation index system, to provides the basis for scientific, fair and objective to carry out the social evaluation practice and improve the effect of governance. Methods The method of literature and comparative analysis and comprehensive evaluation were used. Proceed advantages and disadvantages analysis and classification for government civil servants, health workers, professional organizations, the patient and family, society publics and public media representatives. Results In support dimension, the top three suitable evaluation subjects are professional social organizations and social publics and medical workers in turn. In process dimension, the top three suitable evaluation subjects are social professional organizations and government civil servants and the public. In result dimension, the top three suitable evaluation subjects are professional organizations and social publics and government ci