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建立上海市城市全科服务团队评价指标体系的研究
引用本文:杨华,祝墡珠,江孙芳,王健.建立上海市城市全科服务团队评价指标体系的研究[J].中华全科医师杂志,2009,8(4):251-256.
作者姓名:杨华  祝墡珠  江孙芳  王健
作者单位:复旦大学附属中山医院全科医学科,上海,200032
基金项目:上海市公共卫生重点学科建设计划 
摘    要:目的探讨建立上海市城市全科服务团队评价指标体系,以提高全科服务团队管理的规范化、科学化程度。方法通过两轮改进的德尔菲专家咨询法。结果建立了一套由5个一级指标和56个二级指标组成的城市全科服务团队评价指标体系。5个一级指标分别是“人员配备”、“基础设施”、“服务数量与质量”、“继续教育”和“供需双方满意度”。同时确立了各个指标的权重,5个一级指标的权重分别是0.2153、0.1978、0.2087、0.1869和0.1923。两轮咨询中专家积极系数均为100%;专家权威程度分别为0.852和0.883;评价指标重要性的专家协调系数分别为0.251和0.411。结论本全科服务团队评价指标体系科学、合理,内容全面,操作简单,便于运用,可较好地反映上海市城市全科服务团队的工作现状,符合团队可持续发展的需要。

关 键 词:社区卫生服务  评价研究  质量指标  卫生保健  德尔菲技术

Establishment of evaluation index system for urban general practice service team in Shanghai
YANG Hua,ZHU Shan-zhu,JIANG Sun-fang,WANG Jian.Establishment of evaluation index system for urban general practice service team in Shanghai[J].Chinese JOurnal of General Practitioners,2009,8(4):251-256.
Authors:YANG Hua  ZHU Shan-zhu  JIANG Sun-fang  WANG Jian
Institution:(Department of General Practice, Zhangshan Hospital, Fudan University, Shanghai 200032, China)
Abstract:Objective To establish an evaluation index system for Shanghai urban general practice service team to improve standardized and scientific management. Methods The evaluation index system for Shanghai urban general practice service team was established using two rounds of Delphi consultation. Results The established system consisted of 5 fast-grade indicators and 56 second-grade indicators. The 5 first-grade indicators were staffing, infrastructure, quality and quantity of service, continuing education and satisfaction degree of suppliers and demanders, with weight of 0.2153, 0.1978, 0.2087, 0.1869 and 0.1923 respectively. The active coefficient for two rounds of Delphi consultation was both 100%. The authoritative coefficient of the two rounds was 0.852 and 0.883 respectively. The harmonious coefficient of importance of the evaluation index was 0.251 and 0.411 respectively. Conclusion Through using Delphi method scientifically and reasonably, we set up the evaluation index system for Shanghai urban general practice service team, with integral contents, strong operability and easy application.
Keywords:Community health service  Evaluation studies  Quality indicators  health care  Delphi technique
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