| ObjectBy means of qualitative and quantitative research, we learn about the current scientific and technology capacity situation of the hospitals in Sichuan province. We take advantage of the built index system in Sichuan province and evaluate the hospitals science and technology capacity comprehensively. This work mark the position of each hospital’s comprehensive ability among the 542 hospitals in Sichuan province, and remedy the blank of being not building up a unified checking and evaluating method of hospital’s science and technology capacity EV system. Analyzing the factors which influence the synthetic score of science and technology, this can provide targeted reference for hospitals in reinforcing the management of science and technology. In order to provide method-borrowing in evaluating hospital’s science and technology capacity from all aspect, we positively explore the practicability and maneuverability of the existing index.MethodDocumentary method, brainstorming method, deigning and improving the questionnaire, all these method are we used in the research. Using the investigation method, we survey 542 hospitals’ technology capability which is above second grade in the whole province from 2010 to 2012.Using interview method, we interview part of these hospitals’technology administrators and participators and get more particular knowledge of current medical science and technology administrative situation. Analyzing a large number of the collected statistics, we use the method of weighted efficiency coefficient,synthetical index method, combination weight process, Spearman correlation analysis to envaluate comprehensively. We use system clustering algorithm to classify the 14 provincial and ministeral-leval hospitals., and analyze the main factors which influence the technology ability score by using logist regression analysis method.Results1、Science and technology investment:Science and technology research funds increases in Sichuan province from 2010 to 2012.86.04% of science and technology research funds centered on the Class 3A comprehensive hospitals which are accounting for 11%.The differences of science and technology investment among the organizations have big gap, funds management is not scientific, research equipment fee ratio decrease, the amount of electronic journals can be directly used increase, but by the end of 2012 there are 352 institutions buy no literature databases. Subject person numbers take on a trend of increase. Without obvious ascension, the ratio of professional and technical personnel is still about 5%. Scientific researcher’s enthusiasm remains to be improved. The total number of science and technology elite increase year by year, but the national elite which concentrate in the Class 3A comprehensive hospitals is rare.2、Science and technology management and activities:By the end of 2012, there are still more than 29.26% of the organizations without specialized science and technology department and about 23.05% of the organizations having no technology regulations. From 2010 to 2012, the total number of subject which is established increased. There are 35 items of international subject, accounting for 0.58%, and there established 686 national subjects, accounting for 11.47%. The level of established subject needs to improve. Certain achievements in the scientific research supporting platform construction of key laboratory, subject specialist have been made. The number of graduate students, all-department doctor and specialist doctor increases year by year.3、Output of science and technology:The papers published increased and the growing speed of SCI papers published and core journals grow rapidly. The published academic works increased as well. The pieces of patent authorized and accepted multiplied. The total numbers of authorized patent are 358 items in all, and which are mainly concentrated on utility model. Intellectual property rights are 52 items. Achievements appraisal increase year by year, but the total appraisal rate is low. Science and technology achievements awards obtained at all levels rise inconspicuously. There are only 5 national awards and 22 items of technology transfer. The number of technology transfer and the economic benefit are low. Technology promotions mainly focus on introducing Provincial and municipal appropriate technology and independent innovation technology level is low.4、Comprehensive evaluation and research:By using three method to evaluate comprehensively, the coherence of result is good. We use weighted efficacy coefficient method and weighted comprehensive index method to evaluate. The result we get has good consistency and the evaluation result of the system stable and reliable.By utilization of the existing system index, we take advantage of the combinative method of RSR and system-weight in order to evaluate the above-2-class hospitals in Sichuan Province and 14 provincial and ministerial-level hospitals.From the evaluation, we get the result of the scores, the highest is 92.19 and the lowest is 60. The hospitals scores can compare transversely. Generally, class 3A comprehensive hospitals’score are higher than other hospitals. Most base 2-class hospitals score 60-70 points. From the aspect of second index contributing to the total score, the proportion is different and the ratio shows as follows, scientific researcher (21%), talent cultivation (14%), and person factors (35%).According to the science and technology abiliy of the 14 provincial and ministeral-leval hospitals,all these hospitals can be divided into four categories.5、The score of science and technology ability according to the influencing factor ordered by the pecking-order is the total prize of science and technology achievements, whether having administration regulations, numbers of key discipline, whether having specialized scientific and technology administrative department, total numbers of technical elite,numbers of technical Promotions, the numbers of cultivating the graduate students, all-department doctor and specialist doctor.6、Reflecting on adjusting the system index and the following evaluation:We find that there have some methods to improve the result. First, we can cancel the index which is subject equipment funds accounting for the permanent assets, and reduce the weight of utilizing the electronic journals or change into numbers of purchasing databases. Second, we could add the number of self-intellectual property and self-innovative technology promotion into the index system. The last, we advise that using different weight on sending and accepting graduate students, all-department doctor and specialist doctor. In order to get the more precise result, we suggest that we can evaluate the hospitals by its specified class, type or common characters independently.Conclusion1,From 2010 to 2012, the class 2 or above level hospital in Sichuan province implement their science and technology investment on the following 4 aspects, funds inputting, instruments inputting, literature inputting,human resource inputting. The 4 aspects have their own characters.The fund is taking on growing trend. Equipment investment lasts continuously; Literature investment is not enough. From the side of human resources investment, national science and technology elite is rare, the ratio of medical technical personnel taking part in research should be improved. The input differences in different levels of hospital are big.2、The establishment of scientific research management departments and scientific research management regulation should be improved. Management efficiency needs to be enhanced. There still have a long road to construct the high level support platform like the key lab. Bone surgery, cardiology, oncology is advantageous discipline.3、Science and technology output increases, but the high level result is rare. The number of patent applied and authorized is growing, but the total number of application needs to be increased. The utilization and promotion of the scientific research result is not enough. Scientific project identification rate is low. Stepping up the pace of project acceptance, achievements transformation and to guide and promote the output of scientific research is needed urgently.4、By utilizing existing index system, it has stable evaluation result among 3 deferent evaluation method. The comprehensive score of the evaluation can compare among hospitals horizontally. The evaluation result is according with the real situation. The existing index system is maneuverable, but some of the indexes need to be adjusted. In consider of objectivity and authority, we use the combinative method of RSR and system-weight to evaluate comprehensively.5、Total number of scientific and technology achievements, management regulation and management department,numbers of key discipline, are the main factors which influence the science and technology ability.6、Hospitals should pay more attention to the scientific research, increase investment in scientific research, improve the efficiency of management, develop efficient scientific research teams, plan key discipline reasonably, and promote the utilization and transformation of scientific research achievements. |
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