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家庭医生绩效考核指标体系的构建研究

徐蕾 赵琦 朱敏杰 袁立 王蔷 江萍 徐飚

中国全科医学2016,Vol.19Issue(25):3028-3032,5.
中国全科医学2016,Vol.19Issue(25):3028-3032,5.DOI:10.3969/j.issn.1007-9572.2016.25.006

家庭医生绩效考核指标体系的构建研究

Construction of Performance Appraisal Indicator System of Family Doctors

徐蕾 1赵琦 2朱敏杰 3袁立 2王蔷 2江萍 3徐飚2

作者信息

  • 1. 00051 上海市长宁区社区卫生管理中心综合办公室
  • 2. 复旦大学公共卫生学院流行病学教研室
  • 3. 上海市长宁区卫生和计划生育委员会
  • 折叠

摘要

Abstract

Objective To establish performance appraisal indicator system of family doctors to help perfect work patterns and standardized services of family doctors. Methods 2O managers( directors,directors in charge of performance appraisal)were selected by purposive sampling method from all of the 1O community health service centers of Changning District as the first - round consultant experts;relevant managers of health and family planning commission, community health management center,public health institutions and community health service centers in Changning District and family doctors of community health service centers in Changning District were selected as the second - round consultant experts with a total number of 4O. Performance appraisal indicator system of family doctors was established by Delphi method after two - round expert consultation. Results 2O questionnaires were sent out and 19 were recovered in the first - round expert consultation,the valid response rate was 95. O% ;4O questionnaires were sent out and 39 were recovered in the second - round expert consultation,the valid response rate was 97. 5% . Judgment coefficient of experts was O. 894,coefficient of familiarity degree was O. 9O5,and coefficient of degree of authority was O. 9OO. Cooperation index of experts in the first round was O. 21(χ2 = 12. 11,P > O. O5);and cooperation index of experts in the second round was O. 42(χ2 = 49. 76,P < O. O5). After two - round expert consultations, 7 first - grade indicators were determined,they were informatization management of data,signing of contract,basic medical services,health management,signing of contract and medical services,satisfaction degree and medical expenses,17 secondary&nbsp;indicators and 29 third - grade indicators. Conclusion The established performance appraisal indicator system of family doctors has certain authority and operability,better covers the key points of the work of family doctors,and can be used as tools of assessing services of family doctors,improving the provision mechanism of services,and perfecting connotation of services in recent period.

关键词

家庭医生/绩效考核/德尔菲法

Key words

Family doctors/Performance appraisal/Delphi method

分类

医药卫生

引用本文复制引用

徐蕾,赵琦,朱敏杰,袁立,王蔷,江萍,徐飚..家庭医生绩效考核指标体系的构建研究[J].中国全科医学,2016,19(25):3028-3032,5.

中国全科医学

OA北大核心CSTPCD

1007-9572

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