目的

分析以首都医科大学附属北京儿童医院为核心医院的北京市属医院儿科紧密型医联体成员医院在医联体改革前后的综合效益，为北京市乃至全国儿科医联体的进一步改革提供理论依据。

方法

应用优劣解距离法（TOPSIS）对北京市属医院紧密型儿科医联体成员医院在改革前1 年、改革当年、改革后1 年和2023 年反映社会效益、经济效益和患者就诊满意度的11 项指标进行综合评价。

结果

以首都医科大学附属北京天坛医院为首的综合医院在2023 年的综合效益最好，在改革当年的综合效益最差，2023 年的综合效益较改革前1 年的综合效益增长不是非常明显。在妇幼保健院和儿童医院进行紧密型儿科医联体改革后综合效益均有所提高，改革当年的综合效益明显高于改革前1 年。

结论

儿科紧密型医联体改革促进了医联体成员医院综合效益的提升，尤其是妇幼保健院和儿童医院。

Objective

To assess the social and economic benefits as well as the patient’s satisfaction in the member hospitals before and after the reform in pediatric compact medical alliance of Beijing municipal hospitals, in order to provide a theoretical basis for the further reform of compact pediatric medical alliance in Beijing and in China.

Methods

Eleven indicators, which reflect social and economic benefits as well as the patient’s satisfaction in the member hospitals of the pediatric compact medical alliance in the year before the reform, the year of the reform, a year after the reform, and in 2023 were assessed by the method of Technique for Order Preference by Similarity to Ideal Solution (TOPSIS).

Results

The comprehensive benefits of general hospitals (e.g.,Beijing Tiantan Hospital, Capital Medical University) in the pediatric compact medical alliance all improved after the reform, with the best and worst comprehensive benefits observed in 2023 and the year of the reform, respectively. The comprehensive benefits of maternal and child care service centres as well as pediatric hospitals in the pediatric compact medical alliance all observably improved after the reform, and comprehensive benefits in the year of the reform was greater than that in the year before the reform.

Conclusion

The reform of pediatric compact medical alliance improves the comprehensive benefits of its member hospitals, especially in maternal and child care service centres and pediatric hospitals.