运用“阜外蛛轨图”进行中国三级医院科技影响力与竞争力评价的应用探讨

摘要

Objective Fuwai Spider Track Map (FSTM) is a scientific performance appraisal system established by the scientific research department of Fuwai Hospital.This study aimed to apply FSTM to the ranking and evaluation of scientific and technological influence and competitiveness of tertiary hospitals in China,comparison also conducted with othertraditional systems.Methods Tertiary hospitals consecutively selected as the national top 100 tertiary hospitals for 4 years from 2014 to 2017,according to the scientific and technological influence ranking list published in the official website of the Institute of Medical Information of Chinese Academy of Medical Sciences,were included.Total score,number of hospital staff and beds of these hospitals,accessed from the official website,were taking into account as reference data.Re-evaluation and ranking using FSTM was performed to evaluate and rank the scientific and technological influence and competitiveness.Besides,comparison analysis with traditional methods was conducted to identify the differences and similarities,advantages and disadvantages.Results The total quantity index and the per capita index represent the total research productivity and effectiveness,in other words,scientific and technological influence and competitiveness,respectively.The FSTM may integrate both indexes and avoid the disadvantages of single dimension evaluation.Conclusions Unlike the static results of traditional system,as a 3-dimentional method,FSTM may not only perform comprehensive but also evaluation of type,stratification and classification.It makes the hospitals in same type more comparable and provides multiple references for decision makers bv offering guidance and reference for the evaluation objects.%目的 “阜外蛛轨图”科研绩效考评体系是阜外医院科研处建立的一种原创性评价方法.本研究旨在将此方法应用于全国三级医院的科技影响力与竞争力评价及排名,并与传统方法进行对比,以期为决策者提供多元参考依据,也为参评单位提升自身科技影响力与竞争力水平提供指导和借鉴.方法 通过医科院信息所官网公布的2014-2017年连续4年进入全国前100名的三级医院作为入选标准,以官网公布的入选医院总分数、总人数和总床位数作为评价数据和参考数据.运用“阜外蛛轨图”进行科技影响力与竞争力的再评价研究和排名,同时对比其与传统评价方法的异同与优劣.结果 “阜外蛛轨图”可以有效整合总量与人均这两个指标,从而解决传统单维度评价的缺陷.与传统的“一维静态结果性评价”方法不同,“阜外蛛轨图”属于“三维动态过程性评价”,不仅可进行综合评价,还可进行分类、分层和分型评价,使同类型医院间更具可比性.结论 “阜外蛛轨图”评价方法相对于单纯使用总量指标进行评价已增加了许多新的元素和评价依据,评价的信度和效度更加准确,是可以应用于当前三级医院科技影响力与竞争力的综合评价的,可对现有评价方法提供补充和完善.