中医住院按病种付费管理的绩效评价指标体系构建——基于德尔菲法和层次分析法

目的：本研究旨在构建中医住院按病种付费管理的绩效评价指标体系，确定指标及权重，为中医按病种付费绩效评价提供参考。方法：利用文献研究法初步构建指标池，运用德尔菲法进行两轮专家咨询，确定评价指标体系，采用层次分析法确定指标权重。结果：经两轮专家咨询后，建立了中医住院按病种付费管理绩效评价指标体系，包含3个一级指标、10个二级指标、29个三级指标。专家积极程度、权威程度、意见协调程度均较好。层次分析法结果显示指标一致性程度较高。结论：初步构建了中医住院按病种付费管理绩效评价指标体系，具有较高的科学性和可靠性，可用于中医住院按病种付费管理的绩效评价，但仍需在今后的推广应用过程中不断进行动态调整。

Construction of performance evaluation index system on the DRGs payment system of Traditional Chinese Medicine hospitalized diseases: Based on Delphi method and Analytic Hierarchy Process

Objective: The study is to develop the performance evaluation index system for the management of Diagnosis Related Groups(DRGs) payment system for Traditional Chinese Medicine(TCM) hospitalized diseases by determining the weight of each index so as to provide reference for the performance evaluation of payment according to DRGs of TCM. Methods: The preliminary index pool is built under the guidance of literature research method, and Delphi method is used in two rounds of expert consultation to determine the evaluation index system, and the Analytic Hierarchy Process(AHP)is performed to determine weights of the indexes. Results: After two rounds of expert consultation, the final performance evaluation index system for the DRGs payment system for TCM hospitalized diseases is developed, containing 3 first-level indexes, 10 second-level indexes, and 29 third-level indexes. The degree of enthusiasm, authority and coordination of opinions of experts are good. The AHP results show a high degree of consistency of indicators. Conclusion: This study has initially developed a performance evaluation index system for the management of DRGs payment system for TCM hospitalized diseases, which is highly scientific and reliable, and can be used to evaluate performance of DRGs payment system for TCM, meanwhile it needs to be constantly and dynamically adjusted in the process of future promotion and application.