我国基层医疗卫生机构绩效评价研究*

目的：对我国基层医疗卫生机构2014—2019年的绩效水平进行评价，研究影响绩效的关键因素，并对机构发展提出相应建议，进一步发挥绩效考核导向作用。方法：基于文献分析及政策研究，从服务提供、服务效率、经济管理和人力配置4个维度选取指标，构建基层医疗卫生机构绩效评价指标体系；采用组合赋权法构建绩效评价模型。结果：基层医疗卫生机构绩效评价指标组合权重前 5名分别为健康检查人次、家庭卫生服务人次数、医师日均担负诊疗人次数、医护比、诊疗人次数。结论：对我国基层医疗卫生机构的发展提出4个方面建议：(1)加强服务能力建设；(2)提升服务效率水平；(3)加强财务管理；(4)重视从业人员培养。

Research on Performance Evaluation of Primary Medical Institutions in China

Objective: Evaluate the performance of China''s primary medical institutions from 2014 to 2019 in order to study the key factors affecting performance, and put forward suggestions for the development of the institutions, so as to further give play to the guiding role of performance appraisal. Methods: Based on literature analysis and policy research, indicators of service provision, service efficiency, economic management and manpower allocation are selected to construct the performance evaluation index system of primary medical institutions. The performance evaluation model is constructed based on the combination weighting method. Results: The top five combined weights of performance evaluation indicators of China''s primary medical institutions are the number of health examination, the number of family health service providers, the number of doctors responsible for diagnosis and treatment per day, the ratio of medical care and the number of diagnosis and treatment. Conclusion: To develop China''s primary medical institutions, it proposes to strengthen the construction of service capacity, improve the level of service efficiency, strengthen the financial management, and pay attention to the training of employees.