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医院外部评估是卫生事业管理的重要手段,可以促进医院的质量和效率的不断提高。然而,我国还存在外部评估效果不足的现象。本文从评估的内涵和意义出发,通过我国与国外成熟的评估体系对比发现,外部评估操作过程中评估主体的独立性、评估客体的范围选择、评估内容的重点选择、评估结果的应用是评估作用不能发挥的重要技术性因素。而究其根本,医疗卫生体系的筹资有限、竞争不足及信息不畅等现状是限制外部评估作用发挥的重要制度性因素。
Hospital external assessment is an important means of health management, can promote the continuous improvement of the quality and efficiency of the hospital. However, there is still a lack of effective external evaluation in our country. Based on the connotation and significance of the assessment, through the comparison of the mature evaluation system in our country and abroad, it is found that the independence of the evaluation subject during the external evaluation operation, the selection of the scope of the evaluation object, the key selection of the evaluation content and the application of the evaluation result are the evaluation functions Can not play an important technical factor. However, the basic status quo, the limited financing of the medical and health system, lack of competition and poor information status are the important institutional factors that limit the role of external evaluation.