Volume 20 Issue 11
Nov.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1813-1817
CHEN Hong, ZHOU Rong, SHI Jian-wei, YU Wen-ya, LYU Yi-peng, ZHOU Liang, GAO Xiang, WANG Zhao-xin, HUANG Lei. Confirmation and analysis of critical issues in performance appraisal of family doctors ' contracted services in China[J]. Chinese Journal of General Practice, 2022, 20(11): 1813-1817. doi: 10.16766/j.cnki.issn.1674-4152.002709
Citation: CHEN Hong, ZHOU Rong, SHI Jian-wei, YU Wen-ya, LYU Yi-peng, ZHOU Liang, GAO Xiang, WANG Zhao-xin, HUANG Lei. Confirmation and analysis of critical issues in performance appraisal of family doctors ' contracted services in China[J]. Chinese Journal of General Practice, 2022, 20(11): 1813-1817. doi: 10.16766/j.cnki.issn.1674-4152.002709
shu

Confirmation and analysis of critical issues in performance appraisal of family doctors ' contracted services in China

doi: 10.16766/j.cnki.issn.1674-4152.002709
  • 1.

    School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China

Funds:

 72004032

 SWX21Z02

 GWV-10.2-XD07

  • Received Date: 2022-05-25
    Available Online: 2022-12-30
    Abstract
  •   Objective  To verify the critical issues related to the performance appraisal of family doctors in China and provide suggestions for further optimisation in this field.  Methods  Policy documents related to the performance appraisal of family doctors ' contracted services issued at the national or regional levels were systematically retrieved and collected by channels such as government websites, information disclosure platforms, and so on, as well as literature before March 1, 2022 was retrieved in the CNKI with the theme of "Family doctors/General doctors/Community health service centres/Contracted services+Performance evaluation/Performance evaluation/Performance evaluation". Then, a total of 55 Chinese documents related to the performance appraisal of family doctors in China were reviewed and analysed, and qualitative and semi-quantitative research on the documents were conducted using literature review and cluster analysis.  Results  It was found by analysing the 14 main problems that the issues of the performance evaluation system of family doctors ' contracted services in China was mainly focused on structural submodel, among which, "the evaluation system did not reflect the uniqueness of the value of family doctors ' contracted services", "the setting of index weight did not conform to the positioning of the post epidemic normalisation era"and "performance appraisal was a mere formality" were the key issues in the field of performance appraisal of contracted services of family doctors in China.  Conclusions  The issue system and key issues summarised in this study can help decision-makers and researchers have a deeper understanding of this field, hence, clarifying the focus of future work. However, the problem mainly focuses on the structural submodel. Therefore, the way of performance appraisal should be considered from a strategic and long-term perspective in the future. In addition, under the guidance of policies, improvements should be made from the aspects of index selection, weight setting and appraisal methods of the appraisal system to truly achieve the results of common progress of grass-roots health institutions and personnel.

     

    • FullText(HTML)
  • loading
    • References(18)
  • [1]
    李建富, 杨如璞. TOPSIS法和RSR法在开封市基本公共卫生服务项目绩效考核评价中的应用[J]. 医药论坛杂志, 2015, 36(11): 68-69. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX201511031.htm

    LI J F, YANG R P. Application of TOPSIS method and RSR method in performance evaluation of basic public health service projects in Kaifeng City[J]. Journal of Medical Forum, 2015, 36(11): 68-69. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX201511031.htm
    [2]
    宫一菁. 家庭医生服务绩效评价研究[D]. 上海: 上海工程技术大学, 2019.

    GONG Y J. Research on service performance evaluation of family doctors[D]. Shanghai: Shanghai University Of Engineering Science, 2019.
    [3]
    郝模. 卫生政策学[M]. 北京: 人民卫生出版社, 2013: 31-53.

    HAO M. Health policy[M]. Beijing: People's Health Publishing House, 2013: 31-53.
    [4]
    张璟瑜, 刘利霞, 王小刚, 等. 家庭医生签约服务团队内部考核指标体系构建研究[J]. 中国全科医学, 2021, 24(25): 3244-3249. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202125017.htm

    ZHANG J Y, LIU L X, WANG X G, et al. Development of a system for assessing family doctor team members' performance by the team leader[J]. Chinese General Practice, 2021, 24(25): 3244-3249. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202125017.htm
    [5]
    吕咪, 余子怡, 彭青和, 等. 家庭签约医生绩效考核现状与对策分析[J]. 中国中医药现代远程教育, 2020, 18(6): 163-165. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202006070.htm

    LYU M, YU Z Y, PENG Q H, et al. Analysis on the current situation and countermeasures of performance appraisal of family contracted doctors[J]. Chinese Medicine Modern Distance Education Of China, 2020, 18(6): 163-165. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202006070.htm
    [6]
    郭学清, 姜巍, 张艳春, 等. 家庭医生签约服务的绩效考核及影响因素研究: 基于北京市平谷区履约情况的分析[J]. 卫生经济研究, 2021, 38(5): 10-12, 17. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJJ202105004.htm

    GUO X Q, JIANG W, ZHANG Y C, et al. Study on the performance evaluation and influencing factors of contracted family doctor services: Based on the analysis of contract performance in Pinggu District of Beijing[J]. Health Economic Research, 2021, 38(5): 10-12, 17. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJJ202105004.htm
    [7]
    王权, 郭沙沙, 王婷, 等. 城市基层医疗卫生机构传染病防治关键问题确认[J]. 中国公共卫生, 2021, 37(10): 1449-1453. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202110001.htm

    WANG Q, GUO S S, WANG T, et al. Verification on key issues in communicable disease control for urban primary health care institutions[J]. Chinese Journal of Public Health, 2021, 37(10): 1449-1453. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202110001.htm
    [8]
    范阳东, 江蕾, 柳薇, 等. 广州市家庭医生签约现状及影响因素研究[J]. 中华全科医学, 2021, 19(1): 80-82, 166. doi: 10.16766/j.cnki.issn.1674-4152.001736

    FAN Y D, JIANG L, LIU W, et al. Status of family doctor contract signing in Guangzhou and its influencing factors[J]. Chinese Journal of General Practice, 2021, 19(1): 80-82, 166. doi: 10.16766/j.cnki.issn.1674-4152.001736
    [9]
    国务院. 国务院关于建立全科医生制度的指导意见[EB/OL]. (2011-07-06)[2022-05-22]. http://www.gov.cn/zhengce/content/2011-07/06/content_6123.htm.
    [10]
    国务院医改办. 关于印发推进家庭医生签约服务指导意见的通知[EB/OL]. (2016-05-25)[2022-05-22]. https://www.ahyeji.gov.cn/public/6619661/24015971.html.
    [11]
    中华人民共和国国家卫生健康委员会. 关于加强基层医疗卫生机构绩效考核的指导意见(试行)[EB/OL]. (2020-08-13)[2022-05-22]. http://www.nhc.gov.cn/jws/s7882/202008/0ad-3357cf1c747e0af8e5e145698d571.shtml.
    [12]
    李萍萍, 陆梅华, 王伟. 临床医生教学量化评价指标体系建设[J]. 中国社会医学杂志, 2019, 36(5): 471-475. https://www.cnki.com.cn/Article/CJFDTOTAL-GWSY201905009.htm

    LI P P, LU M H, WANG W. Quantification evaluation research on clinical teaching[J]. Chinese Journal of Social Medicine, 2019, 36(5): 471-475. https://www.cnki.com.cn/Article/CJFDTOTAL-GWSY201905009.htm
    [13]
    黄锦玲, 从紫薇, 杨阳, 等. 家庭医生签约服务绩效评价的概念框架[J]. 中国全科医学, 2019, 22(13): 1516-1521, 1527. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201913005.htm

    HUANG J L, CONG Z W, YANG Y, et al. Conceptual framework model of performance evaluation of family doctors' contracted services[J]. Chinese General Practice, 2019, 22(13): 1516-1521, 1527. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201913005.htm
    [14]
    丁静, 季燕, 仇跃, 等. 疫情常态化时代社区卫生服务对全科医生的挑战[J]. 中华全科医师杂志, 2020, 19(11): 1002-1004.

    DING J, JI Y, QIU Y, et al. Challenges of community health services to general practitioners in the era of epidemic normalization[J]. Chinese Journal of General Practitioners, 2020, 19(11): 1002-1004.
    [15]
    LI X, KRUMHOLZ H M, YIP W, et al. Quality of primary health care in China: Challenges and recommendations[J]. Lancet, 2020, 395(10239): 1802-1812. http://www.xueshufan.com/publication/3016826869
    [16]
    徐玉菲, 武镝, 何倩, 等. 新冠肺炎疫情对公立医院绩效分配的影响及对策思考[J]. 江苏卫生事业管理, 2021, 32(2): 165-166, 187. https://www.cnki.com.cn/Article/CJFDTOTAL-JWSG202102009.htm

    XU Y F, WU D, HE Q, et al. Impact of COVID-19 epidemic on public hospital performance allocation and countermeasures[J]. Jiangsu Health System Management, 2021, 32(2): 165-166, 187. https://www.cnki.com.cn/Article/CJFDTOTAL-JWSG202102009.htm
    [17]
    田淼淼, 王芳, 贾梦, 等. 签约服务费筹资现状及对家庭医生的薪酬补偿作用分析[J]. 中国卫生政策研究, 2020, 13(7): 41-45. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ202007007.htm

    TIAN M M, WANG F, JIA M, et al. Study on status of contracting service fee and the effect of compensation for family doctors[J]. Chinese Journal of Health Policy, 2020, 13(7): 41-45. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ202007007.htm
    [18]
    杨琳琳. "两个允许"政策背景下家庭医生薪酬补偿机制研究[D]. 北京: 北京协和医学院, 2021.

    YANG L L. Research on compensation mechanism of family doctors under the background of "two permits" policy[D]. Beijing: Peking Union Medical College, 2021.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)  / Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (260) PDF downloads(22) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return