中国全科医学2016，Vol.19Issue(25)：3033-3038,6.DOI:10.3969/j.issn.1007-9572.2016.25.007
上海市家庭医生及其团队成员绩效考核实施现况研究
Implementation Status of Performance Appraisal in General Practitioners and Theirs Team Members in Shanghai
摘要
Abstract
Objective To describe the implementation status of performance appraisal in general practitioners and their team members in Shanghai. Methods We stratified the areas based on the division of central city areas,rural - urban continuums and suburbs. 3 areas were selected from the central city area of Shanghai( downtown of Pudong New Area,Xuhui District,Yangpu District),2 from the rural - urban continuum( rural - urban continuum of Pudong New Area,Baoshan District),and 2 from the suburb(suburb of Pudong New Area,Fengxian District)by random number table method. Numbering all the community health service centers in the five areas and extracting 2 to 3 community health service centers from the each selected central city area,1 to 2 from the selected rural - urban continuums and the selected suburbs separately through random number table method. Totally we enrolled 15 community health service centers,from which all the general practitioners,nurse teams and public health doctors that met the inclusion criteria were taken as research objects. Investigators carried their self -design questionnaire to the designated locations in the community to carry out the questionnaire survey from June to August 2O15. The survey included the basic situation and the performance appraisal status of the research objects. A total of 836 questionnaires were distributed,792 valid questionnaires were recovered with the effective recovery rate of 94. 7% . Results There was significant difference in genders,ages,educational levels,years of working and professional titles of general practitioners,nurse and public health doctors among the 792 cases(P < O. O1). There was significant difference in the frequency of the performance appraisal of general practitioners,nurse and public health doctors( P < O. OO1) . There was significant difference in the feedback of the results of the performance appraisal between participants of different positions and administrative regions(P < O. O5). There was significant difference in paying out performance pay according to the results of performance appraisal among participants of different positions,professional titles,regions,administrative regions,and different regions in Pudong New Area(P < O. O1). There was significant difference in the proportion of wages of performance appraisal in total wages among participants of different positions,professional titles,and in different regions,administrative regions,and different regions of Pudong New Area(P < O. O1). Conclusion The frequency of performance appraisal of Shanghai community health service centers is monthly - appraisal based with high feedback rate of performance appraisal result. However,the proportion of the results of performance appraisal results as the basis of paying out performance wages,and of the performance pay in total wages remain rather low,and the effects of performance appraisal need to be further improved.关键词
家庭医生/绩效考核/绩效工资Key words
Family doctors/Performance appraisal/Performance pay分类
医药卫生引用本文复制引用
沈莹,蔡雨阳,方佳圆,杨辉,施榕..上海市家庭医生及其团队成员绩效考核实施现况研究[J].中国全科医学,2016,19(25):3033-3038,6.基金项目
上海市教委文科重点项目（O3- O32- OO1）---社区家庭医生及其团队绩效评估方法研究 （）
