Research on the impact of the reform of quantitative standards for "relative value" on the service equivalent of community health technicians

YIN Tao; WENG Naijie; CHENG Qiaolu; YIN Delu

doi:10.16766/j.cnki.issn.1674-4152.003945

Volume 23 Issue 4

Apr. 2025

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Article Navigation > Chinese Journal of General Practice > 2025 > 23(4): 539-542

YIN Tao, WENG Naijie, CHENG Qiaolu, YIN Delu. Research on the impact of the reform of quantitative standards for 'relative value' on the service equivalent of community health technicians[J]. Chinese Journal of General Practice, 2025, 23(4): 539-542. doi: 10.16766/j.cnki.issn.1674-4152.003945

Citation:

YIN Tao, WENG Naijie, CHENG Qiaolu, YIN Delu. Research on the impact of the reform of quantitative standards for "relative value" on the service equivalent of community health technicians[J]. Chinese Journal of General Practice, 2025, 23(4): 539-542. doi: 10.16766/j.cnki.issn.1674-4152.003945

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Research on the impact of the reform of quantitative standards for "relative value" on the service equivalent of community health technicians

doi: 10.16766/j.cnki.issn.1674-4152.003945

YIN Tao^{1, 2}
, WENG Naijie³
, CHENG Qiaolu⁴
, YIN Delu^{1
,
,}

1.
Health Development Laboratory, Science and Technology Department, Capital Institute of Pediatrics, Beijing 100020, China

Funds:

71673191

PG2024023

Received Date: 2024-06-11
Available Online: 2025-06-30

Abstract

Abstract

Objective To address the existing issues in the "separate revenue and expenditure lines" system, Changping District, Beijing has implemented a reform of the operational mechanism for the "relative value" quantitative standard in primary health service projects. This study aims to analyze the impact of this reform on the work efficiency of community health service institution personnel, providing decision-making references for further improving policies related to comprehensive primary-level reforms. Methods Based on the quantitative standard of "relative value" of 508 primary health service projects in Changping District, we analyzed and compared the annual service equivalents per capita of 18 community health centers in Changping District in different years by using the data of staffing, service volume, and service volume per capita from 2017 to 2021. Results From 2017 to 2021, the average annual service equivalents per capita of community health centers in Changping District showed an upward trend, with a five-year increase of 14.69%; among them, the average annual service equivalents per capita of Class Ⅰ community health centers were the highest and had the largest increase, reaching 7 702.65 standard service equivalents and 18.38%, while the average annual service equivalents per capita of Class Ⅲ community health centers were the lowest, at 5 514.25 standard service equivalents. The coefficients of variation of the annual service equivalents per capita of community health service centers in 2018 and 2019 were larger, 0.41 and 0.33, respectively, while the annual service equivalents per capita of each center in the other three years were 0.19. Conclusion The implementation of the operation mechanism of Changping District based on the basic project of basic primary health care services "relative value" in 2016 quantitative standard of the operational mechanism reform has continuously mobilized the enthusiasm of primary medical personnel, improved work efficiency, and promoted the supply of primary medical and health care services, and in the future, it is recommended to strengthen the management of personnel service efficiency based on information tracking and analysis.
- Relative value,
- Work efficiency,
- Service equivalents per capita,
- Community health service,
- Health management

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References

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