中国全科医学2018，Vol.21Issue(7)：795-799,5.DOI:10.3969/j.issn.1007-9572.2018.07.008
基于德尔菲法的广东省全科团队家庭医生式签约服务绩效考核指标体系构建研究
Development of a Performance Evaluation Indicator System for Contractual Services from a General Practitioner Team in Guangdong Province Based on the Delphi Method
摘要
Abstract
Objective To develop a performance evaluation indicator system for contractual services from a general practitioner team in Guangdong Province, offering a reference for objectively assessing the implementation effect and improving the quality of such services in Guangdong. Methods Based on the related policies of Guangdong and China as well as the review of related articles, using Donabedian's structure-process-outcome model as the framework, we developed the initial performance evaluation indicator system for contractual services from a general practitioner team in Guangdong Province (hereinafter referred to as the initial system). From October 2016 to February 2017, after a two-round Delphi expert consultation (n=27) using our pre-designed questionnaire, the indicators and their weight coefficients in the performance evaluation indicator system for contractual services from a general practitioner team in Guangdong Province (hereinafter referred to as the performance evaluation indicator system) were determined. Results The response rate of the first, and second rounds of expert consultation was 90.6% (29/32), 93.1% (27/29), respectively. The authority coefficient of the first-level indicators was (0.82±0.11). The mean Kendall coordination coefficient was 0.272 after the second round of expert consultation (P<0.001) for all the indicators, and was more thun 0.453 for expert group in each institution. Finally, we developed a performance evaluation indicator system consisting of 3 first-level indicators, 16 second-level indicators and 46 third-level indicators, with weight assigned to each indicator. Conclusion The performance evaluation indicator system developed by us is reliable for it demonstrated both satisfactory positive and authority coefficients. Moreover, it also showed good coordination coefficient for the experts reached a consensus about the content of this system during the second round of consultation.关键词
家庭医生式签约服务/绩效考核/德尔菲法/指标体系Key words
Family doctor services/Performance evaluation/Dephi method/Indicator system分类
医药卫生引用本文复制引用
欧伟麟,王家骥,沈欢瑜,欧文森,陈宝欣,杨志鹏,张曼,黄志杰,张立威,唐杰..基于德尔菲法的广东省全科团队家庭医生式签约服务绩效考核指标体系构建研究[J].中国全科医学,2018,21(7):795-799,5.基金项目
广东省医学科研基金项目(B2013092)——广东省不同社区卫生服务管理模式的卫生经济学评估模型构建与应用研究 （B2013092）
广东省卫生计生委委托课题——开展城乡家庭医生式服务支付方式改革试点 （）
