基于平衡计分卡的上海市"无废医院"评价指标体系研究OA

Objective This study intends to establish a scientifically grounded and feasible evaluation index system for"Zero-Waste Hospital"construction,and to provide reference for hospital assessment and evaluation.Methods Based on a review of relevant national and Shanghai municipal policies and regulations,a preliminary index system was constructed using the Balanced Scorecard as the theoretical framework.The Delphi method was used to conduct two rounds of consultations with 20 experts in hospital logistics management and public health.The analytic hierarchy process(AHP)was then applied to calculate the indicator weights,and the expert authority coefficient and coordination coefficient were used to assess the expert authority and the degree of consensus.Results The final index system comprised 5 first-level indicators(institutional guarantee,hospital performance,construction outcomes,sustainable development,and energy conservation and innovation),6 second-level indicators,and 35 third-level indicators.The expert authority coefficient across both consultation rounds was 0.945,and the coordination coefficient was statistically significant(P＜0.01).The weights of indicators at all levels passed the consistency ratio test(CR＜0.1).Conclusions The evaluation index system developed in this study is relatively scientifically grounded,capable of reflecting the core requirements for"Zero-Waste Hospital"construction in Shanghai at the current stage,and provides reference for relevant evaluation work.