中国全科医学2012，Vol.15Issue(34)：3951-3955,5.DOI:10.3969/j.issn.1007-9572.2012.12.008
重庆市基本公共卫生服务绩效考核的效果评价
Effect Evaluation of Performance Examinations of Basic Public Health Services in Chongqing
摘要
Abstract
Objective To investigate the self - development conditions of primary health organizations before and after implementation of performance examinations, and assess the effects. Methods Twenty primary health organizations were chosen from 4 districts by stratified random sampling, and a self-made questionnaire was used in combination with special group interviews for data collection. Results Totally 15 health organizations carried out essential drug system, 19 got performance examination , 4 implemented two - way management of income and expense, and 3 registered by taking community health service center as their first name. After implementation of performance of examination the working amount of basic health services in 14 organizations , in which the performance examination and essential drug system were implemented, was decreased on the year before, with the average person - time of basic health services in the organization reduced from 196. 00 times to 69. 71 times per capita ( P <0. 01). The total balance of financial revenue and expenditure dropped from RMB 1 880 000 yuan to 395 000 yuan (P < 0.05). However, the balance of business payments, drug profit, average service costs of clinic and emergence and hospitaliza-tion remained flat ( P > 0. 05 ) . The monthly income per capita of the staff decreased from RMB 2 029. 43 to 1 893. 35 yuan ( P < 0. 05). And the financial aids went down from RMB 735 100 to 453 600 yuan (P < 0. 01). Conclusion The performance examination systems of basic public health services has not been established completely, and the examination has not played a motivating role. It is urgent to set up as soon as possible a scientific and effective indicator system of performance examinations for basic public health services and to impel actively a complete set of reform in primary medical institutions.关键词
基本公共卫生服务/绩效考核/效果评价Key words
Basic public health services/ Performance examinations/ Effect evaluation分类
医药卫生引用本文复制引用
吴海峰,何坪,杨森评,王润华,潘伦..重庆市基本公共卫生服务绩效考核的效果评价[J].中国全科医学,2012,15(34):3951-3955,5.基金项目
重庆市科委项目:《重庆市基本公共卫生服务均等化运行管理机制的研究》(cstc2011cx-rkxAO163) （cstc2011cx-rkxAO163）
