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基本公共衛生服務質控中心績效評價指標體系構建研究

Construction of a performance evaluation index system in essential public health service quality control centers

作者:

孫華君   林姍   徐雅萱   張雅欣   湯乃軍   李婧   李剛   袁源   杜汋

單位:

天津,天津醫科大學公共衛生學院(孫華君、林姍、湯乃軍、李婧、杜汋);天津市基本公共衛生服務質量控制中心(孫華君、林姍、湯乃軍、李婧、杜汋);天津醫科大學護理學院(徐雅萱);天津市第一中心醫院醫療保險辦公室(張雅欣);天津市衛生健康委員會(李剛、袁源)

關鍵詞:

基本公共衛生服務;質量控制;績效評價;指標體系

分類號:

R197

DOI:

10.3969/j.issn.2095-7432.2023.01.008

出版年,卷(期),頁碼:2023,13 (1):45-50

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摘要:

目的 構建基本公共衛生服務質控中心績效評價指標體系,為評價基本公共衛生服務質控中心績效情況提供依據。方法 通過文獻分析法初步擬定評價指標體系框架,選取從事衛生健康行政管理、醫療衛生質量控制、基本公共衛生服務等工作的14位專家,通過德爾菲法對專家進行兩輪問卷詢問,利用層次分析法計算三級指標所占的權重大小。結果 兩輪發出問卷全部回收;專家權威系數Cr=0.87,專家具有較高威信;兩輪的Kendall' s W 0.237上升為0.357,差異有統計學意義(P0.001),提示專家所持意見趨于統一;構建了基本公共衛生服務質控中心績效評價指標體系,包含4個一級指標、7個二級指標和44個三級指標。結論 研究構建的基本公共衛生服務質控中心績效評價指標體系具有可行性,可為評價基本公共衛生服務質控中心工作開展情況提供參考。

英文摘要:

Objective To construct a performance evaluation index system in an essential public health service quality control center, so as to provide evidence for performance assessment in these centers. Methods The framework of the evaluation indicators was preliminarily formulated with the literature analysis. Fourteen experts in health administration, medical and health quality control, and essential public health services were selected and underwent two rounds of questionnaire-based surveys by the Delphi method. The weights of indicators at all three levels were calculated using the analytic hierarchy process. Results All the questionnaires completed in the two rounds were collected. The authority coeffi cient (Cr) of these experts was 0.87, suggesting that the experts had high prestige. The Kendall's W in the two rounds of questionnaires signifi cantly increased from 0.237 to 0.357 (P<0.001), suggesting a consensus of the experts. The established performance evaluation index system in the essential public health service quality control center included 4 first-level indicators, 7 second-level indicators, and 44 third-level indicators. Conclusions The performance evaluation index system in the essential public health service quality control is applicable and can serve as reference for performance assessment in these centers.

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