对医院信息系统的发展、功能框架等进行介绍的基础上利用文
献评阅法、专家咨询法，并通过对样本医院的实地调查初步得出医院
信息系统效益分析评价指标体系；通过文献评阅法和两轮专家咨询，
最后得出了医院信息系统效益分析评价指标体系。提出按反映社会效
益的业务评价指标和反映经济效益的经济评价指标两条线索建立指
标，从反映医院运行状况的众多指标中，筛选出人力资源、工作效率、
工作质量、管理效益、收支评价、病人费用6 大方面指标，科研成果
评分、平均住院日、患者满意率等17 项组成评价指标体系。
利用专家咨询法和层次分析法确定各评价指标的权重，建立评
价模型；为检验评价模型的实用性和可操作性，选取8 家样本医院进
行调研，利用综合指数法计算出8 家医院3 年综合效益值；分析数据，
针对目前实际工作中存在的问题，提出解决办法和发展策略：
1. 医院应该根据实际全面规划，分步实施信息化建设
2. 领导成员亲自参加，并设立专门的信息化领导小组
3. 实行预约挂号、增加医生，缩短就诊时间并提高效率
4. 系统建设是循序渐进，但信息的标准化、统一的接口要先行
5. 完善评价体系，建立医院信息系统综合效益监测网络
关键词 医院信息系统,效益分析,层次分析法
ABSTRCT
With the rapid development of global information technology, especially the
emergence and popularization of Internet, information technology is penetrating into
every field of the social economy dramatically. Meanwhile, the importance of
informaionization of hospital is more and more distinct. In this dissertation, the
author analyzed the characteristics of hospitals’ development firstly, summarized the
contradiction between hospitals’ development and the traditional managerial style,
and pointed out that informationization is the only way for hospitals to develop. The
information construction in hospitals is practically and profoundly significant in such
fields as promoting management modernization, reducing cost effectively,
accelerating technological improvement, improving service quality as well as
enhancing economic and social benefit of hospitals. As far, there has no complete
system to evaluate the comprehensive benefit of hospital information system.
Hospitals still don’t know how informationization works and how to informationize.
On the basis of introducing the development and function of hospital information
system, the author concluded the primary benefit analysis and evaluation index
system of hospital information system through the field investigation of sample
hospitals by consulting references and Delphi Method. Trough 2 circles of brain
storm and consulting references, the index system of benefit analysis and evaluation
of hospital information system is finally educed.
Firstly, to establish the indices in 2 fields---business evaluation index and economy
evaluation index;
Secondly, to figure out 6 indices, such as human resources, work efficiency, work
quality, management effectiveness, balance evaluation and patients’ expenses from
the indices reflecting hospital’s operation situation;
Thirdly, the evaluation index system should be composed of such 17 indices as
scientific achievement grading and patients’ satisfactory rate;
Fourthly, to define the weight of each index by Delphi Method and the Analyticl
Hierarchy Process；
Fifthly, to figure out the value of comprehensive benefit;
Finally, to analyze the data in order to propose resolutions of the problems in the
present practice and put forward to the tactics of development.
Based on the findings above,following suggestion is proposed:
1. According to comprehensive planning , the hospital should implement the
hospital information system step by step
2. Set up special information-based leading group
3. Adding doctors, shortening the time of seeing a doctor and raising the efficiency
4. The system construction shoud be carried out step by step ,but the information
standardization shoud implemented in advance
5. Estate the supervise net of comprehensive benefit of the hospital information
system
KEY WORDS hospital information system, benefit analysis, the analyticl
hierarchy process
第 1 章 信息化是医院发展的必由之路
1.1 医院及医院管理
医院是以诊疗疾病、照护病人为主要目的的医疗机构。具体来说，医院是
运用医学科学理论和技术，对病人或特定人群进行防病、治病，并提供保健服
务的场所，具有一定数量的病床、医务人员和必要的设备，通过医务人员的集
体协作，以达到对住院或门诊病人实施诊疗护理与防病工作的医疗事业机构。
管理是按照一定的方针、政策和法规，通过科学预测制定组织的目标，并
运用计划、组织、领导、协调、控制等职能，对人、财、物等资源优化组合、
充分利用，争取最大效益，以达到预期目标的活动过程。医院管理就是按照医
院工作的客观规律，运用现代管理理论和方法，对人、财、物、信息、时间等
资源，进行计划、组织、领导、协调、控制，充分发挥整体运行功能，以取得
最佳综合效益的管理活动过程。
1.2 中国医院发展的特点
随着改革开放的深化和经济发展，我国的经济体制和经济增长方式正在发
生根本性变化，即由传统的计划经济体制向社会主义市场经济转变，由以强调
增加投入，尤其是增加生产要素数量为特征的粗放型的经济增长方式向以调整
改善投入产出关系，主要通过提高效益和效率为特征的集约型的经济增长方式
转变。与国民经济同步，医疗市场正逐渐告别短缺经济时代，由卖方市场转变
为买方市场，卫生领域出现了许多新情况、新问题。
1997 年，中共中央、国务院颁布《关于卫生改革与发展的决定》，拉开了
与社会主义市场经济体制相适应的卫生全面改革的序幕。2001 年国务院转发了
《关于城镇医药卫生体制改革的指导意见》，随后又颁布了相关配套文件，我国
卫生改革不断向纵深发展。现代医院的发展呈现出以下趋势：
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