摘要
目的 构建适用于三级医院且兼具系统性、科学性、可操作性的医师职称晋升评价综合模型。方法 在医师胜任力模型基础上,运用文献研究、政策分析、德尔菲法构建三级医院医师职称晋升评价指标体系,以四川省某市三级综合医院22名临床医师为对象,运用CRICIT-TOPSIS法模拟评价。结果 两轮德尔菲法咨询后构建的医师职称晋升综合评价模型包含一级指标4项,二级指标10项、三级指标33项,专家权威系数0.776,两轮Kendall’s W系数分别为0.386、0.348(P<0.01);医、教、研、德权重分别为49.44%、18.82%、20.13%、11.61%;模拟评分结果显示,拟晋升正高级、副高级、中级职称的案例医师平均相对接近度值分别为0.50,0.43,0.39。结论 模型科学可靠,可应用于医师中高级职称晋升评价,并从人才培养、标准制定、信息化管理、沟通反馈机制、绩效提升等5个方面提出保障建议。
Objective To construct a comprehensive evaluation model for physician promotion in tertiary hospitals,which is systematic,scientific and operational.Methods Based on the physician competency model,a multi-level evaluation index system was constructed through literature review,policy analysis,and Delphi method.A simulation assessment was conducted using the CRITIC-TOPSIS method on 22 clinical physicians from a tertiary general hospital in Sichuan Province.Results The final evaluation model,established after two rounds of Delphi consultation,consisted of 4 first-level indicators,10 second-level indicators and 33 third-level indicators.The expert authority coefficient was 0.776,and the Kendall's W coefficients for the two rounds were 0.386 and 0.348(P<0.01),respectively.The weights for clinical practice,teaching,research,and ethical conduct were 49.44%,18.82%,20.13%,and 11.61%,respectively.Simulation score results show that,the average relative proximity values o case physicians to be promoted to senior,associate senior,and intermediate titles were 0.50,0.43,and 0.39,respectively.Conclusion The model demonstrates scintific validity and reliability for evaluating physician promotion to intermediate and senior professional titles.Five supporting recommendations are proposed:talent development,standard optimization,health information system management,communication and feedback mechanism,and performance enhancement.
作者
但倩
石景芬
毛光明
王炜
黄琴
张杰
Dan Qian;Shi Jingfen;Mao Guangming(Panzhihua Central Hospital,Panzhihua,Sichuan,617067,China;不详)
出处
《中国医院管理》
北大核心
2025年第11期58-63,共6页
Chinese Hospital Management
基金
四川省科技计划资助项目(2023JDR0252)。
关键词
三级医院
职称晋升
综合评价
胜任力模型
指标体系
tertiary hospitals
professional title promotion
comprehensive evaluation
competency model
indicator system
