郭锐敏, 杜君. 基于AHP-模糊综合评价法的医院应急能力实证研究——以北京市某三甲医院为例. 2026. biomedRxiv.202604.00068
基于AHP-模糊综合评价法的医院应急能力实证研究——以北京市某三甲医院为例
通讯作者: 杜君, guoruimin0601@163.com
DOI:10.12201/bmr.202604.00068
An Empirical Study of Hospital Emergency Response Capacity Based on the AHP-Fuzzy Comprehensive Evaluation Method: A Case Study of a Tertiary Hospital in Beijing
Corresponding author: dujun, guoruimin0601@163.com
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摘要:目的:应用前期构建的医院突发事件应急能力评价指标体系,对北京市某大型三甲医院进行实证评估,识别应急管理薄弱环节,并提出针对性改进建议。方法:采用前期基于德尔菲法和层次分析法构建的医院突发事件应急能力评价指标体系(含3个一级指标、15个二级指标)。邀请20名熟悉医院应急管理的专业人员,采用模糊综合评价法对该医院应急能力进行评价,通过加权平均型算子计算评价向量,依据最大隶属度原则确定评价等级。结果:模糊综合评价结果显示,医院突发事件应急能力总体评价等级为“一般”(隶属度0.2953)。各维度中,“事前预防”评价为“良好”(隶属度0.3381),“事中控制”评价为“一般”(隶属度0.3295),“事后处置”评价为“一般”(隶属度0.4526)。15个二级指标中,仅3项(20%)达到“良好”水平,12项(80%)为“一般”。结论:该医院应急能力总体处于中等水平,事前预防具有一定基础,但事中控制与事后处置环节存在明显短板。建议从应急响应速度、处置监督机制、事后评估体系等方面系统提升医院应急管理能力。
Abstract: Objective To empirically evaluate the emergency response capacity of a large tertiary hospital in Beijing using a previously established evaluation index system, to identify weaknesses in emergency management, and propose targeted improvement recommendations.Methods The evaluation index system for hospital emergency response capacity, previously developed using the Delphi method and Analytic Hierarchy Process (AHP), was employed. This system comprises 3 first-level indicators and 15 second-level indicators. Twenty professionals familiar with hospital emergency management were invited to assess the hospitals emergency capacity using the Fuzzy Comprehensive Evaluation (FCE) method. The evaluation vector was calculated using the weighted average operator, and the evaluation grade was determined based on the maximum membership principle.Results The FCE results showed that the overall emergency response capacity of the hospital was rated as moderate (membership degree: 0.2953). Among the dimensions, pre-event prevention was rated as good (0.3381), while both in-event control (0.3295) and post-event disposal (0.4526) were rated as moderate. Of the 15 second-level indicators, only 3 (20%) reached the good level, while 12 (80%) were rated as moderate.Conclusion The hospitals emergency response capacity is generally at a moderate level, with strengths in pre-event prevention but significant weaknesses in in-event control and post-event disposal. It is recommended to systematically enhance the hospitals emergency management capacity by focusing on improving emergency response speed, supervision mechanisms, and post-event evaluation systems.
Key words: Hospital emergency management; Emergency capacity evaluation; Fuzzy comprehensive evaluation; Empirical study提交时间:2026-04-09
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序号 提交日期 编号 操作 1 2026-03-24 10.12201/bmr.202604.00068V1
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