家庭医生签约服务评估指标体系构建研究

目的:构建家庭医生签约服务评估指标体系,以便从卫生服务的不同层面对家庭医生签约服务工作进行评估。方法:运用文献、现场调查以及专家咨询构建筛选评估指标的初步框架;通过Delphi法专家咨询后运用统计学方法进行分析,构建家庭医生签约服务评价指标体系。结果:建立了家庭医生签约模式评估指标体系,包括一级指标3个,分别为准备性、过程性和结果性评价指标;二级指标8个,主要有人力资源投入、基本医疗、基本公卫、服务效率和满意度等;三级指标39个,如每万人口家庭医生数、首诊率、签约居民医疗事故和医疗纠纷发生率等。结论:本研究构建的指标体系具有敏感性和可行性,能够对家庭医生签约工作进行综合评价,为家庭医生签约服务工作的管理、考核及评价提供了参考依据。

A study on the construction of evaluation indicator system of family doctor's contract service

Objective:The objective of this study is to construct the evaluation indicator system of family doctors contracted service,to evaluate the main current family doctor contracted service in China from different aspects of health services. Methods:literature research method, field survey method and expert consultation method were used for the preliminary screening of the evaluation indicator; after consultation with Delphi experts to conduct a primary health care service management, using statistical analysis was used to build a family doctor evaluation indicator system. Results:The results show that the evaluation indicator system of family doctors contracted service was determined, and consists of three first-level indicators, which were respectively preparatory, procedural and outcome evaluation indicators;eight secondary indicators, which mainly include human resources input, basic medical treatment, basic public health, service efficiency and satisfaction and so on;and thirty-nine tertiary indicators,such as the number of doctors per 10,000 population, the rate of first diagnosis, the rate of medical malpractice and the incidence of medical disputes of contracted residents, etc. Conclusions:The indicator system constructed in this study is sensitive and feasible, and it can comprehensively evaluate the work of family doctor contract, and provides a reference for the management, assessment and evaluation of family doctor contract service.