基于PATH模型的远程医疗绩效评价体系构建

目的 探索构建适用于我国远程医疗发展的绩效评价体系。方法 采用文献法、头脑风暴法初步构建评价框架和指标库，运用德尔菲法和层次分析法确定指标及其权重。结果 基于PATH模型建立了远程医疗绩效评价体系，包括以病人为中心、医疗效果与效率、员工为导向、安全性、反应性管理5个一级指标、11个二级指标和32个三级指标。结论 PATH模型适用于远程医疗绩效评价体系的建立，此外，以病人为中心的指标权重最高，因此，应加强对远程医疗服务费用的控制，同时从各个角度入手，提高患者满意度。

Development of Telemedicine Performance Evaluation System Based on PATH Model

Objective To explore and establish the performance evaluation system for telemedicine in China. Methods By the method of literature and brainstorming, building evaluation model and the initial indicators, and then use Delphi method to determine the final evaluation model, and finally use Analytic Hierarchy Process to determine the index weight. Results Based on the performance assessment tool for quality improvement in hospitals (PATH), a telemedicine performance evaluation framework was established with five primary indicators, 11 Secondary indicators and 32 tertiary indicators. The five primary indicators include patient-centered, medical effective and efficiency, staff-oriented, safety and response management. Conclusion The PATH model is suitable for the establishment of telemedicine performance evaluation framework. In addition, the patient-centered indicator has the highest weight, and therefore, the cost of telemedicine services should be controlled, and the patient satisfaction should be improved from all angles.