中国农村卫生事业管理2024，Vol.44Issue(10)：686-691,6.DOI:10.19955/j.cnki.1005-5916.2024.10.001
县域医共体健康绩效导向研究
The health outcome oriented performance research for county health alliance
摘要
Abstract
Objective To discuss the evaluation orientation of the health performance of county health al-liance from the perspective of policymakers and service providers,and to provide an evaluation basis for county health alliance during the stage from organization to high-quality development.Methods Semi-structural inter-views were conducted among stakeholders from different institutions,and based on the concept extraction method of grounded theory,the coding and quantitative analysis of NVivo software,the evaluation orientation framework and indicators for health performance were studied.Results The concept of full-cycle health services had been recog-nized by most stakeholders.The concepts of"information construction""collaborative interaction""performance assessment"were more frequently mentioned during the interviews.The main content for health performance evalu-ation included"overall planning and efficient collaboration""orderly medical treatment and appropriately allocated resources""performance assessment considering both the process and outcome,and both the population and dis-ease".Counclusion From the perspective of suppliers,the development concept of primary health care has changed from cure to providing full-cycle health services.The indicators of health performance should focus on key groups and priority diseases.And meanwhile we must take into account both process and outcome.As for the ap-plication of health performance,other health-related determinants still need to be taken into consideration.关键词
访谈/健康绩效/扎根理论/县域医共体/指标Key words
Interview/Health performance/Grounded theory/County health alliance/Index分类
医药卫生引用本文复制引用
崔月颖,周驰,冯芮华,杨磊,陈瑶..县域医共体健康绩效导向研究[J].中国农村卫生事业管理,2024,44(10):686-691,6.基金项目
国家自然科学基金项目(72274050),浙江省哲学社会科学规划课题(22NDJC135YB) （72274050）
