Volume 21 Issue 5
May  2023
Turn off MathJax
Article Contents
ZENG Weiming, SHI Jianwei, YU Wenya, CHEN Ning, CHEN Hong, GAO Ya, TAN Shuoyuan, WANG Zhaoxin, WU Zhengyi. Research on the construction of effectiveness evaluation index system for family doctor contract service model[J]. Chinese Journal of General Practice, 2023, 21(5): 721-725. doi: 10.16766/j.cnki.issn.1674-4152.002968
Citation: ZENG Weiming, SHI Jianwei, YU Wenya, CHEN Ning, CHEN Hong, GAO Ya, TAN Shuoyuan, WANG Zhaoxin, WU Zhengyi. Research on the construction of effectiveness evaluation index system for family doctor contract service model[J]. Chinese Journal of General Practice, 2023, 21(5): 721-725. doi: 10.16766/j.cnki.issn.1674-4152.002968

Research on the construction of effectiveness evaluation index system for family doctor contract service model

doi: 10.16766/j.cnki.issn.1674-4152.002968
Funds:

 20JZD027

 SQ2022YFC3600172

  • Received Date: 2022-11-15
  •   Objective  Currently, various regions in China have developed family doctor contract service models fitting local characteristics, however, it still lacks scientific and feasible tools for evaluating the effectiveness. Therefore, this study aims to develop the effectiveness evaluation index system for family doctor contract service models, which would promote the high-quality development of family doctor services.  Methods  The preliminary evaluation index system and expert consultation table were formed through literature reviews and group discussions. From September 2021 to December 2021, taking the Better Together model as the theoretical basis and the "results framework" as the guidance, the final effectiveness evaluation index system for family doctor contract service models was determined through two rounds of expert consultations using the Delphi method. The weights of each index were determined through expert consultations and analytic hierarchy process.  Results  The response rates of experts in the two rounds of consultation were 100% and 75% respectively, which indicated the experts were highly motivated. The authority coefficients for the two rounds of consultation were 0.898 and 0.877 respectively; The Kendall coefficients were 0.245 (χ2=393.205, P < 0.001) and 0.252 (χ2=453.417, P < 0.001) respectively, which indicated experts ' opinions tended to be consistent. Through two rounds of expert consultation, the final effectiveness evaluation index system for family doctor contract service models was constructed, mainly focusing on population health, service quality, service efficiency, cost control, resident recognition, and intimacy. The system consisted of 5 first level indicators, 15 second level indicators, and 48 third level indicators, with weight coefficients of 0.217, 0.217, 0.196, 0.181, and 0.188, respectively.  Conclusion  The experts in this study are highly motivated, authoritative and coordinated, and the final effectiveness evaluation index system for family doctor contract service models are reliable, which can provide an objective and scientific tool of evaluating the effectiveness for the family doctor contract service models.

     

  • loading
  • [1]
    国务院医改办, 国家卫生计生委, 国家发展改革委, 等. 关于印发推进家庭医生签约服务指导意见的通知[J]. 中华人民共和国国务院公报, 2016(30): 67-71. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYB201630011.htm

    Medical Reform Office of The State Council, National Health and Family Planning Commission, National Development and Reform Commission, et al. A circular on the issuance of guidelines on Promoting contracted Services for family doctors[J]. Bulletin of the State Council of the People's Republic of China, 2016(30): 67-71. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYB201630011.htm
    [2]
    卢万琪, 胡敏, 朱瑜, 等. 基于家庭医生签约服务的健康获得感概念界定与评价指标体系构建[J]. 中国初级卫生保健, 2021, 35(7): 5-7. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202107002.htm

    LU W Q, HU M, ZHU Y, et al. Definition of Concept of Health Gain and Construction of Evaluation Index System Based on Family Doctor Contract Service[J]. China Primary Health Care, 2021, 35(7): 5-7. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202107002.htm
    [3]
    国家卫生健康委, 财政部, 人力资源社会保障部, 等. 关于推进家庭医生签约服务高质量发展的指导意见[J]. 中华人民共和国国务院公报, 2022(19): 61-64. https://xuewen.cnki.net/CCND-HFWB20230110A060.html

    National Health Commission, Ministry of Finance, Ministry of Human Resources and Social Security, etc. A guideline on promoting the high-quality development of contracted services for family doctors[J]. Bulletin of the State Council of the People's Republic of China, 2022(19): 61-64. https://xuewen.cnki.net/CCND-HFWB20230110A060.html
    [4]
    AMANDA S, LUCY D, KRISHNA U, et al. Case Study: Better Together, United Kingdom[R]. Duke-Margolis Center for Health Policy, the Commonwealth Fund, 2013.
    [5]
    Draft Outcome Framework Report. Mid-Nottinghamshire Better Together Programme[R]. 2014.
    [6]
    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]. China Family Medicine, 2021, 24(25): 3244-3249. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202125017.htm
    [7]
    黄锦玲. 广州市家庭医生签约服务绩效评价指标体系构建研究[D]. 广州: 南方医科大学, 2020.

    HUANG J L. Study on the the performance evaluation index system of family doctor contracting service in Guangzhou[D]. Guangzhou: Southern Medical University, 2020.
    [8]
    孙彩霞, 司驷骏, 蒋锋, 等. 我国家庭医生签约服务绩效评价指标体系构建研究[J]. 中国全科医学, 2021, 24(34): 4378-4385. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202134014.htm

    SUN C X, SI Y J, JIANG F, et al. Development of a contracted service performance assessment system for China's family doctors[J]. Chinese Family Medicine, 2021, 24(34): 4378-4385. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202134014.htm
    [9]
    马文翰, 史大桢, 赵亚利. 国内外家庭医生签约服务团队评估指标研究进展[J]. 中国全科医学, 2022, 25(7): 791-796. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202207016.htm

    MA W H, SHI D Z, ZHAO Y L. Recent advances in assessment tools for family doctor teams[J]. Chinese Family Medicine, 2022, 25(7): 791-796. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202207016.htm
    [10]
    龚超, 刘春雨, 薄云鹊, 等. 基于SERVQUAL模型的我国家庭医生签约服务质量评价体系研究[J]. 中国公共卫生管理, 2022, 38(2): 174-177, 182. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS202202008.htm

    GONG C, LIU C Y, BO Y J, et al. Research on the evaluation system of family doctor contract service quality basedon SERVQUAL model in China[J]. Chinese Journal of Public Health Management, , 2022, 38(2): 174-177, 182. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS202202008.htm
    [11]
    赵盼盼, 王屹亭, 林振平, 等. 家庭医生签约服务质量评价的理论分析框架与研究展望[J]. 中国卫生政策研究, 2019, 12(6): 57-62. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ201906013.htm

    ZHAO P P, WANG Y T, LIN Z P, et al. Theoretical analysis framework and research prospect on services qualityevaluation of family doctors[J]. Chinese Journal of Health Policy, 2019, 12(6): 57-62. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ201906013.htm
    [12]
    田淼淼, 王芳, 贾梦, 等. 家庭医生签约服务政策效果评价指标体系研究[J]. 中华医院管理杂志, 2020, 36(7): 553-556. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202305001.htm

    TIAN M M, WANG F, JIA M, et al. Research on the evaluation index system of the effect of family doctor contract service policy[J]. Chinese Journal of Hospital Management, 2020, 36(7): 553-556. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202305001.htm
    [13]
    国家卫生健康委员会, 国家中医药管理局. 关于开展"优质服务基层行"活动的通知[EB/OL]. (2018-09-26)[2022-10-15]. http://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5435449.html.

    National Health Commission, State Administration of Traditional Chinese Medicine. Notice on launching the "Quality Service Grassroots Line" activity[EB/OL]. (2018-09-26)[2022-10-15]. http://www.gov.cn/zhengce/zhengceku/2018-12/31/content_5435449.html.
    [14]
    黄蛟灵, 邱宝华, 梁鸿, 等. 签约家庭医生对居民医疗费用的影响分析[J]. 中国卫生经济, 2018, 37(5): 46-49. https://www.cnki.com.cn/Article/CJFDTOTAL-WEIJ201805017.htm

    HUANG J L, QIU B H, LIANG H, et al. Analysis on the Effect of Family Doctor Contraction on Residents'Medical Expenses[J]. Chinese Health Economics, 2018, 37(5): 46-49. https://www.cnki.com.cn/Article/CJFDTOTAL-WEIJ201805017.htm
    [15]
    张隽, 赵明清, 陈竹清, 等. 需方视角下武汉市居民家庭医生签约服务认知与利用研究[J]. 中国初级卫生保健, 2022, 36(7): 49-52. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202207014.htm

    ZHANG J, ZHAO M Q, CHEN Z Q, et al. Research on the Awareness, Utilization of Family Doctors'Contract Services among Wuhan Residences: Based on the Perspective of Demanders[J]. Chinese Primary Health Care, 2022, 36(7): 49-52. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202207014.htm
    [16]
    任瑞康. 西安市G区家庭医生签约服务评价指标体系构建与现状评估[D]. 西安: 西北大学, 2021.

    REN R K. Construction and Evaluation of Family Doctor Contract Service Evaluation Index System in G District of Xi ' an[D]. Xi ' an: Northwestern University, 2021.
    [17]
    李颖. 签约居民家庭医生签约服务效果及满意度评价研究[D]. 沈阳: 中国医科大学, 2021.

    LI Y. Study on the service effect and satisfaction evaluation of contracted residents' family doctors[D]. Shenyang: Chinese Medical University, 2021.
    [18]
    龚静, 江启成. 家庭医生签约服务评估指标体系构建研究[J]. 中国卫生政策研究, 2018, 11(4): 36-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ201804007.htm

    GONG J, JIANG Q C. A study on the construction of evaluation indicator system of family doctor's contract service[J]. Chinese journal of Health Policy, 2018, 11(4): 36-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ201804007.htm
    [19]
    葛津津, 刘薇群, 江长缨, 等. 基于结构-过程-结果理论的上海市社区护理质量管控指标体系构建研究[J]. 中华全科医学, 2019, 17(4): 609-613. doi: 10.16766/j.cnki.issn.1674-4152.000748

    GE J J, LIU W Q, JIANG C Y, et al. A study on the construction of a quality control index system for community nursing in Shanghai based on structure-process-outcome theory[J]. Chinese general medicine, 2019, 17(4): 609-613. doi: 10.16766/j.cnki.issn.1674-4152.000748
    [20]
    窦雄. 我国家庭医生签约服务现状问题及对策研究进展[J]. 现代医药卫生, 2021, 37(2): 229-232. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202102014.htm

    DOU X. The status quo, problems and countermeasures of family doctors' contracted services in my country[J]. Journal of Modern Medicine & Health, 2021, 37(2): 229-232. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202102014.htm
  • 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

    Tables(5)

    Article Metrics

    Article views (447) PDF downloads(51) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return