Abstract: Background　The vertical and compact medical consortium is an important form of the integration of medical institutions in China，whose performance evaluation is directly related to its sound development. Hence，it is necessary to construct a sound performance evaluation system for this type of medical consortium. Objective　To establish a framework for the performance evaluation of the vertical and compact medical consortium，to provide a reference for the construction and performance management of medical consortiums in China. Methods　We conducted this study from August 2017 to October 2018. On the basis of analyzing related literature and semi-structured interview results，we developed the initial version of vertical and compact medical consortiums performance evaluation system（VCMCPES），and revised it in accordance with results of two rounds of Delphi consultation with 16 experts. We used the Kendall's W to assess the agreement among experts. Results　The expert response rate of two rounds of consultation was 100.0%，the anthority coefficient of two-round of Delphi consultation was 0.73，the coordination coefficients for the two-round of Delphi consultation were 0.30，0.51（P<0.01），respectively，meeting the requirements of Kendall's W test. Finally，a framework of VCMCPES was developed，which consisted of six first-level indicators including accessibility of health services，quantity of health services，quality of health services，efficiency of health services，effect of health services and affordability of health services and 24 second-level indicators. Conclusion　The response level，authority coefficient and coordination coefficient of the experts involved in the consultation are high. And the reliability and specificity of the included indicators are good. To optimize the system，expert consultations should be carried out，and the indicators should be verified further.

Key words: Medical consortium, Performance evaluation, Delphi technique

摘要： 背景　纵向紧密型医疗联合体是我国医疗服务整合实践的重要形式，其绩效评价结果直接关系到纵向紧密型医疗联合体的良性发展，因此有必要构建一套专门针对纵向紧密型医疗联合体的绩效评价指标体系。目的　建立纵向紧密型医疗联合体绩效评价指标框架，为我国医疗联合体建设和绩效管理工作提供参考。方法　2017年8月—2018年10月，结合国内外文献分析和个人深入访谈，初步拟定纵向紧密型医疗联合体绩效评价指标体系；通过对16位专家进行两轮德尔菲法专家咨询，对绩效评价指标进行完善和修改，并对结果进行Kendall's W一致性检验。结果　两轮咨询的专家应答率均为100.0%，权威系数均为0.73，协调系数分别是0.30和0.51（P<0.01），达到一致性检验要求。最终构建了包含卫生服务可及性、卫生服务数量、卫生服务质量、卫生服务效率、卫生服务效果、卫生服务可负担性6个一级指标和24个二级指标的纵向紧密型医疗联合体绩效评价指标框架。结论　绩效评价指标的专家积极性、权威系数及协调系数较高，已筛选的指标可靠性和特异性较高，但需进一步优化指标、完善德尔菲法专家咨询并开展指标验证工作。

关键词: 医疗联合体, 绩效评价, 德尔菲技术