Abstract: Background　The calculation formula of standardized workload includes three variables:manpower time，technical difficulty and risk degree. Among them，technical difficulty and risk degree are subjective measurements. Business personnel in different departments or engaging in different types of work have their own measures. In general，the workload measurement of business personnel of the same type of work is relatively consistent. But it is impossible to use the same criteria to measure the workload of people in different departments or engaging in different types of work，which makes the technical difficulty and risk measurement of different departments incomparable. Objective　 To estimate the standardized workload of community health services to homogenize the subjective measurements of technical difficulty and risk degree of workload across departments. Methods　 We collected the initial assignment values of each service（including manpower hour，technical difficulty and risk degree） delivered by representative professional workers from pharmaceutical and healthcare business departments. Then，using the calculation principle of standardized workload，we converted them according to the principles of minimum and average，and multiplied the converted values of technical difficulty and risk degree by inter-department conversion coefficient obtained by using the series method to obtain the final comparable values of the technical difficulty and risk degree of different departments，with the sorting method used for solving the controversy before determining the final value. Results　The degree of authority of the invited experts for consultation was greater than 0.7，and the results were scientific and reliable. The technical difficulty and risk degree conversion coefficients between departments were obtained. And the final comparable values for technical difficulty and risk degree of all services delivered by each department were obtained. Conclusion　The measurement and evaluation of the standardized workload of each service in terms of technical difficulty and risk level，requires the selection of representative professional workers to obtain their evaluation results，and then adopts the minimum and average principles，series method，and sorting method，the final comparable values of technical difficulty and risk level for each service delivered by different business departments within a hospital can be successfully obtained.

Key words: Standardized workload, Technical difficulty, Risk degree, Average value, Minimum value, Series method, Sorting method

摘要： 背景　标化工作量的计算公式中包含人力时、技术难度和风险程度三个变量，其中技术难度和风险程度是一种主观的度量，不同部门和工种的业务人员会有自己的度量衡，一般来说，相同工种的业务人员度量衡相对一致，但不同部门和工种的人员之间则难以获得相同的度量衡，这使得不同部门之间的技术难度和风险程度度量值不可比。目的　本研究拟在测算社区卫生服务项目标化工作量背景下解决跨部门的技术难度和风险程度主观度量衡均一化问题。方法　从标化工作量的内涵出发，选择专业的、有代表性的业务人员，获取其对所在科室各项目人力时、技术难度和风险程度的原始赋值，按照最小值和平均值原则进行转换，再将转换后的技术难度和风险程度取值乘以使用串联法得到的科室间转换系数，得到不同科室间可比的技术难度和风险程度最终取值，并使用排序法解决确定最终取值前的争议。结果　选择的专家权威程度基本大于0.7，结果科学可信，得到了各科室间的技术难度和风险程度转换系数，得到了各个科室所有项目可比的技术难度和风险程度最终取值。结论　标化工作量的技术难度和风险程度等参数的测量取值，需要选择有代表性的业务人员，获得其赋值结果，测得各人的原始赋值后，通过最小值及平均值原则、串联法、排序法，可以顺利地获得各个项目在全院范围内可比的技术难度和风险程度最终取值。

关键词: 标化工作量, 技术难度, 风险程度, 平均值, 最小值, 串联法, 排序法