中国全科医学2016，Vol.19Issue(25)：3023-3027,5.DOI:10.3969/j.issn.1007-9572.2016.25.005
我国基层医疗卫生机构绩效考核研究的文献分析
Literature Analysis of Performance Appraisal of Basic Medical Institutions in China
摘要
Abstract
Objective To understand the research status of performance appraisal of basic medical institutions in China,and to provide references for establishing perfect performance appraisal system of basic medical institutions. Methods Related literatures of performance appraisal of basic medical institutions( including community health service center/ station, health clinics in towns and townships and village clinics)were included through the searching of Chinese National Knowledge Infrastructure. Literature information extraction table was made by the author to collect basic characteristics of literatures, including research time,research sources,research objects,research categories,research areas and research funds sources. On the basis of further literature screening,related contents of performance appraisal including index types,methods of establishing appraisal system,appraisal cycle,appraisal modes and dimensions were collected. Descriptive analysis was made through applying SPSS 19. O statistical software. Results According to the literature search strategies,518 literatures were obtained,and finally 92 were included in accordance with inclusion and exclusion criteria. Studies on performance appraisal of basic medical institutions in China started in 2OO6,54(58. 7% )literatures were included from 2O12 to 2O14;the number of literatures with research source of scientific research institutions and community health service center/ station was 28 ( 3O. 4% ) and 19 (2O. 7% )respectively;while the number of literatures with research objects of health clinics in towns and townships and community health service center/ station was 42(45. 6% )and 39(42. 4% );the number of literatures with research categories of current status analysis and index system construction were both 23(25. O% );the number of literatures with research areas of eastern region and western region was 5O(54. 3% )and 18(19. 6% )respectively;27(29. 4% )had funding supports. 21 were retrieved by further screening,of which 15(71. 4% )literatures′ type of performance appraisal index was mainly based on service quantity and service proportion;considering methods of establishing evaluation system,13(61. 9% )adopted Delphi method and 11(52. 4% )used literature analysis method;in terms of appraisal cycle of institutions,half - year and annual cycle literature numbers were both 3(14. 3% );12(57. 1% )applied the appraisal manner of superior examination and self -inspection;and 8(38. 1% )literatures took appraisal dimension of functions. Conclusion Basic medical institutions in China starts relatively late on studies of performance appraisal,and presents the following shortages:lack of the participation of township health institutions and health administration institutions,relatively less usage of quantitative methods,relatively single appraisal modes and dimensions,and lack of long period appraisal. The exploration of performance distribution and influence factors needs to be strengthened.关键词
基层医疗卫生机构/绩效考核/文献分析Key words
Basic medical institutions/Performance appraisal/Literature analysis分类
医药卫生引用本文复制引用
蒋易芬,蒲川,张力..我国基层医疗卫生机构绩效考核研究的文献分析[J].中国全科医学,2016,19(25):3023-3027,5.基金项目
重庆市利用世行贷款统筹城乡发展与改革卫生项目（CHSR2）---基层医疗卫生机构绩效考核评价实证研究 （）
