Construction and application of evaluation indicator system for homogenous medical services in multi-campus management of public hospitals

Abstract

Background To organize the concepts and research progress of multi-campus management and homogeneity in Chinese public hospitals; construct a systematic, rational, and scientific evaluation indicator system and assessment method; and conduct an empirical analysis. This study aims to provide a theoretical basis and practical guidance for the practice of multicampus development in public hospitals. Methods The Donabedian model was used to construct an evaluation framework and the Delphi method was used to establish a set of evaluation indicators for the homogeneous management of public hospitals with multiple campuses. The analytic hierarchy process (AHP) was applied to determine the weights of various indicators and perform consistency checks. The TOPSIS + RSR method was used for comprehensive evaluation. Results This study identified 3 primary indicators (resource input, operational efficiency, and quality of care), 9 secondary indicators (infrastructure, talent support, revenue and expenditure structure, cost control, medical services, service volume, technical safeguards, patient safety, and rational use of medications), and 41 tertiary indicators. During weighting as part of the analytic hierarchy process, the consistency ratio of the judgment matrices was found to be less than 0.100. Eleven clinical departments were included in the empirical study, and the results of the TOPSIS method of analysis showed that the highest level of homogeneous management was in Department B (gynecology) and the lowest in Department I (neurosurgery). The results of the RSR method showed that the management levels could be graded as high, medium, or low, with a statistically significant linear regression equation between Ci and the corresponding Probit probability (F = 402.1, P < 0.001). Conclusions The evaluation indicator system constructed in this study was based on XX, with comprehensive indicators and reliable results. Empirical research has demonstrated its effectiveness in assessing the homogeneous management level of the same department across different campuses. To further optimize the homogeneous management of public hospitals with multiple campuses, the following two strategies could be considered: (1) improving the precision of resource allocation and (2) enhancing the quality and efficiency of sustained coordination.