To construct a set of scientific, systematic and specialty-specific operation evaluation index system for tertiary public psychiatric hospitals, and to provide tools and references for hospital refined management and health policy formulation.

Based on the balanced scorecard theory, the index pool was formed through policy analysis, literature research and semi-structured interviews, the final index system was determined by Delphi method, and the index weight was calculated by analytic hierarchy process.

After two rounds of expert consultation (the positive coefficient of experts reached 100%, the authority coefficient was 0.86-0.87, and Kendall’s W test was significant), the evaluation system consisting of 4 first-level indexes, 13 second-level indexes and 43 third-level indexes was finally established. The weight analysis showed that the patient dimension had the highest weight among the first-level indicators (0.466 8), followed by the financial dimension (0.277 6), highlighting the “patient-centered” service orientation; Among the three-level indicators, patient satisfaction and waiting time after outpatient appointment had the highest weight.

This index system effectively solves the problem of “acclimatization” of general evaluation standards in the field of psychiatry, is an important tool to promote high-quality connotative development, and has reference value for performance appraisal and policy improvement in the field of mental health.