Volume 21 Issue 9
Sep.  2023
Turn off MathJax
Article Contents
GONG Yanan. Evaluation of the implementation effect of basic public health service performance management in Tongzhou District Community Health Service Center of Beijing[J]. Chinese Journal of General Practice, 2023, 21(9): 1547-1551. doi: 10.16766/j.cnki.issn.1674-4152.003167
Citation: GONG Yanan. Evaluation of the implementation effect of basic public health service performance management in Tongzhou District Community Health Service Center of Beijing[J]. Chinese Journal of General Practice, 2023, 21(9): 1547-1551. doi: 10.16766/j.cnki.issn.1674-4152.003167

Evaluation of the implementation effect of basic public health service performance management in Tongzhou District Community Health Service Center of Beijing

doi: 10.16766/j.cnki.issn.1674-4152.003167
Funds:

 2018-3P-7082

 TFZXPT-20180201

  • Received Date: 2022-10-21
    Available Online: 2023-10-19
  •   Objective  To evaluate the implementation effect of internal basic public health service performance management system in community health service centers constructed since 2018, and provide reference suggestions for the performance management of basic public health service in the future.  Methods  The effect evaluation indexes were determined through expert discussion and Delphi expert consultation method. The indicators of service quantity, quality and effect, residents' awareness, usage, satisfaction and performance management evaluation of public health personnel from 2019 to 2021 were compared and analyzed.  Results  In the 4 centers, the number of outpatient visits decreased by 2.2%, the number of health management of the elderly, the standardized management rate of hypertension and diabetes and the standardized management rate of patients with severe mental disorders increased by 6.8%, 16.9%, 19.0% and 2.0%, respectively, the true rate of health records and physical examination of the elderly increased by 1.4% and 8.8% respectively, the dynamic utilization rate of health records, blood pressure and blood glucose control rate increased by 16.9%, 8.2% and 18.8%, respectively; The residents' awareness, usage and satisfaction increased, the greatest improvement was in the awareness of health education (14.4%), the usage of vaccination (15.0%) and the satisfaction of the service level of public health personnel (7.8%). The number of public health personnel who thought that the salary and workload were relatively matched or very matched increased by 12.1%, the assessment index was consistent with the actual work increased by 19.8%, the index weight setting was reasonable increased by 20.0%, the incentive was strong increased by 18.3%, the improvement effect was obvious increased by 25.1%, and the recognition of performance management level increased by 11.0%, the above differences were all statistically significant (all P<0.05).  Conclusion  Through the demonstration of community health service centers with different economic development levels, the quantity, quality and effect of basic public health, the residents' awareness, usage and satisfaction are improved, the scientificity, incentive and management level of performance management have been significantly improved, which indicate that the system has a significant application effect and has a certain promotion value.

     

  • loading
  • [1]
    北京市卫生健康委员会. 北京市中医管理局关于通报2018年度国家基本公共卫生服务项目考核结果的通知[EB/OL]. (2019-07-12)[2022-09-20]. http://wjw.beijing.gov.cn/zwgk_20040/ylws/201912/t20191216_1242362.html.

    Beijing Municipal Health Commission. Notice of Beijing Municipal Administration of Traditional Chinese Medicine on notification of assessment results of National Basic Public Health Service Projects in 2018[EB/OL]. (2019-07-12)[2022-09-20]. http://wjw.beijing.gov.cn/zwgk_20040/ylws/201912/t20191216_1242362.html.
    [2]
    刘海涛, 李慧敏. 石河子市基本公共卫生服务项目绩效考核现状分析[J]. 兵团医学, 2019(2): 62-64. doi: 10.3969/j.issn.1672-4356.2019.02.031

    LIU H T, LI H M. Analysis of performance appraisal of basic public health service project in Shihezi[J]. Journal of Bingtuan Medicine, 2019(2): 62-64. doi: 10.3969/j.issn.1672-4356.2019.02.031
    [3]
    罗银波, 贾利高, 刘军安, 等. 湖北省国家基本公共卫生服务项目管理及相关问题分析[J]. 中国公共卫生, 2019, 35(6): 676-679. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201906006.htm

    LUO Y B, JIA L G, LIU J A, et al. Management on national basic public health service projects and its related issues in Hubei province[J]. Chinese Journal of Public Health, 2019, 35(6): 676-679. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201906006.htm
    [4]
    甘仁榕, 朱焱, 卢芸. 贵阳市主城区社区卫生服务中心考核现状分析[J]. 中国卫生事业管理, 2019, 36(1): 9-12, 62. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201901007.htm

    GAN R R, ZHU Y, LU H. Research on appraisal status of community health service centre in main urban area of Guiyang city[J]. China Health Administration, 2019, 36(1): 9-12, 62. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201901007.htm
    [5]
    谭涛, 成撒诺, 邓宇, 等. 重庆市基本公共卫生服务项目绩效考核指标体系实证研究[J]. 中华全科医学, 2021, 19(11): 1956-1959. doi: 10.16766/j.cnki.issn.1674-4152.002210

    TAN T, CHENG S N, DENG Y, et al. An empirical study on performance evaluation index system of basic public services in Chongqing[J]. Chinese Journal of General Practice, 2021, 19(11): 1956-1959. doi: 10.16766/j.cnki.issn.1674-4152.002210
    [6]
    刘子言, 肖月, 赵琨, 等. 国家基本公共卫生服务项目实施进展与成效[J]. 中国公共卫生, 2019, 35(6): 657-664. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201906002.htm

    LIU Z Y, XIAO Y, ZHAO K, et al. Implementation progress and effect of National Essential Public Health Services Program in China[J]. Chinese Journal of Public Health, 2019, 35(6): 657-664. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201906002.htm
    [7]
    陈静静, 彭迎春, 王海利, 等. 标准化工作量法与目标管理法在京北山区家庭医生签约绩效考核中的综合应用研究[J]. 中华全科医学, 2022, 20(10): 1718-1723. doi: 10.16766/j.cnki.issn.1674-4152.002688

    CHEN J J, PENG Y C, WANG H L, et al. Application of standard chemical quantity method and target management method in the performance evaluation of contracted family doctors in the suburb of Beijing[J]. Chinese Journal of General Practice, 2022, 20(10): 1718-1723. doi: 10.16766/j.cnki.issn.1674-4152.002688
    [8]
    罗永发. 公立医院内部绩效管理探索[J]. 中国医疗管理科学, 2021, 11(4): 45-50. https://www.cnki.com.cn/Article/CJFDTOTAL-YLGL202104012.htm

    LUO Y F. Internal performance management in public hospitals[J]. Chinese Journal of Medical Management Sciences, 2021, 11(4): 45-50. https://www.cnki.com.cn/Article/CJFDTOTAL-YLGL202104012.htm
    [9]
    仇嫒雯, 贲慧, 姚晶晶, 等. 基于RBRVS与DRG的公立医院绩效薪酬考评应用探索[J]. 中国卫生经济, 2019, 38(4): 72-75. https://www.cnki.com.cn/Article/CJFDTOTAL-WEIJ201904026.htm

    QIU A W, BEN H, YAO J J, et al. Research on applying performance compensation evaluation of public hospitals based on RBRVS and DRGs[J]. Chinese Health Economics, 2019, 38(4): 72-75. https://www.cnki.com.cn/Article/CJFDTOTAL-WEIJ201904026.htm
    [10]
    黄萍, 汪铭涵, 张安, 等. 上海实施国家基本公共卫生服务项目十年效果评价[J]. 中华全科医学, 2020, 18(12): 1979-1983. doi: 10.16766/j.cnki.issn.1674-4152.001668

    HUANG P, WANG M H, ZHANG A, et al. Evaluation of the ten-year effect of implementing national basic public health services in Shanghai[J]. Chinese Journal of General Practice, 2020, 18(12): 1979-1983. doi: 10.16766/j.cnki.issn.1674-4152.001668
    [11]
    符岱佳, 纪妹. 全科团队绩效管理与提升基本公卫服务能力效果的探讨[J]. 中国社区医师, 2018, 34(30): 178-179, 181. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS201830112.htm

    FU D J, JI M. Discussion on the effectiveness of general team performance management and promotion of basic public health service capability[J]. Chinese Community Doctors, 2018, 34(30): 178-179, 181. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS201830112.htm
    [12]
    王晓娥. 关于绩效考核评价体系在基本公共卫生服务项目管理中应用的探讨[J]. 财经界, 2020(32): 230-231, 236. https://www.cnki.com.cn/Article/CJFDTOTAL-CJJI202032120.htm

    WANG X E. Discussion on application of performance appraisal system in basic public health service project management[J]. Money China, 2020(32): 230-231, 236. https://www.cnki.com.cn/Article/CJFDTOTAL-CJJI202032120.htm
    [13]
    甘静雯, 黄蓉, 巩亚楠. 北京市通州区基本公共卫生服务绩效考核指标体系构建研究[J]. 社区医学杂志, 2022, 20(4): 233-238. https://www.cnki.com.cn/Article/CJFDTOTAL-SQYX202204011.htm

    GAN J W, HUANG R, GONG Y N. Research on performance evaluation indicator system of essential public health service in Tongzhou district of Beijing[J]. Journal of Community Medicine, 2022, 20(4): 233-238. https://www.cnki.com.cn/Article/CJFDTOTAL-SQYX202204011.htm
    [14]
    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 Administration, 2021, 32(2): 165-166, 187. https://www.cnki.com.cn/Article/CJFDTOTAL-JWSG202102009.htm
    [15]
    胡睿, 郭丽, 陈伟. 新冠肺炎疫情期间某公立医院绩效分配合理性探究与实践[J]. 中国医院, 2021, 25(5): 85-86. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYU202105028.htm

    HU R, GUO L, CHEN W. Research and practice on the rationality of performance distribution in a public hospital during the COVID-19[J]. Chinese Hospitals, 2021, 25(5): 85-86. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYU202105028.htm
    [16]
    郝爱华, 沈丽芳, 徐宁, 等. 2015—2018年广东省基本公共卫生服务项目绩效评价结果分析[J]. 中国公共卫生管理, 2021, 37(1): 81-85, 88. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS202101022.htm

    HAO A H, SHEN L F, XU N, et al. Analysis of performance evaluation for basic public health service project in Guangdong province from 2015 to 2018[J]. Chinese Journal of Public Health Management, 2021, 37(1): 81-85, 88. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS202101022.htm
    [17]
    张雅欣, 黄丽雯, 刘嘉怡, 等. 我国基本公共卫生服务现状及对策探讨[J]. 中国初级卫生保健, 2022, 36(3): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202203001.htm

    ZHANG Y X, HUANG L W, LIU J Y, et al. Current situation and countermeasures of basic public health services in China[J]. Chinese Primary Health Care, 2022, 36(3): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202203001.htm
    [18]
    徐建德, 夏丽芳, 张培培. 上海市某二级综合性医院绩效管理实施效果评价[J]. 中国初级卫生保健, 2019, 33(3): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW201903002.htm

    XU J D, XIA L F, ZHANG P P. Evaluation on implementation effect of performance management in a secondary general hospital in Shanghai[J]. Chinese Primary Health Care, 2019, 33(3): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW201903002.htm
    [19]
    任玉翠. 基于社区卫生服务中心绩效管理及其考核有关思考[J]. 中国卫生产业, 2020, 17(8): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY202008050.htm

    REN Y C. Thoughts on performance management and evaluation of community health service centers[J]. China Health Industry, 2020, 17(8): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY202008050.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(3)

    Article Metrics

    Article views (287) PDF downloads(8) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return