乡村医生签约服务评价指标体系构建研究

发布时间：2018-04-28 05:48

本文选题：乡村医生 + 签约服务　；参考：《中国卫生事业管理》2016年04期

【摘要】：目的:构建以服务质量和效果为考核重点、基于乡村医生提供的基本医疗、基本公共卫生、慢性病管理、健康管理等整体服务的签约服务评价指标体系,拟将运用该指标体系得到的评价结果作为对开展签约服务乡村医生经费拨付的依据,从而起到对乡村医生的激励和约束作用。方法:通过文献研究和专家会商法确定评价指标体系的各项初始指标,运用两轮德尔菲法完成评价指标的选择及权重的确定,构建一套适用于乡村医生签约服务考核的评价指标体系。结果:构建的乡村医生签约服务评价指标体系共分为三级:一级指标有3个,二级指标有9个,三级指标有53个。结论:本研究构建的乡村医生签约服务评价指标体系,在促进乡村医生合理收入以及激励乡村医生工作积极性方面具有杠杆作用,且涵盖乡村医生提供的整体服务的考核省去了各分项考核的时间成本、并提高了评价的科学性。但是仍需对构建的指标体系进行进一步的实践论证。
[Abstract]:Objective: to establish an evaluation index system of contracted service based on the basic medical service, basic public health care, chronic disease management, health management and so on, which focus on the quality and effect of service, and based on the basic medical treatment, basic public health, chronic disease management and health management provided by rural doctors. The evaluation results obtained by the index system are intended to be used as the basis for the allocation of funds for the contracted service to rural doctors, so as to stimulate and restrain rural doctors. Methods: the initial indexes of the evaluation index system were determined by literature study and expert association commercial method, and two rounds of Delphi method were used to select the evaluation index and determine the weight of the evaluation index. Construct a set of evaluation index system suitable for rural doctor contract service examination. Results: the evaluation index system of rural doctor contract service was divided into three levels: 3 first-grade indexes, 9 second-class indicators and 53 third-level indicators. Conclusion: the evaluation index system of rural doctors' contract service constructed in this study has a leverage role in promoting rural doctors' reasonable income and motivating rural doctors' work enthusiasm. And it covers the whole service provided by rural doctors. It saves the time cost of each item and improves the scientific evaluation. But we still need to further practice the index system.
【作者单位】：安徽医科大学卫生管理学院;国家卫计委基层司;
【基金】：国家卫计委委托课题“乡村医生签约服务付费机制研究”
【分类号】：R197.1

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