浦东新区社区卫生服务机构绩效评估分析  

Performance evaluation of community health institutions of Pudong new district

作　　者：丁晔 孙晓明 顾建钧 娄继权 江一民 梁鸿[3] 张宜民[3] 

机构地区：[1]浦东卫生发展研究院,上海200129 [2]上海市浦东新区卫生局 [3]复旦大学社会发展与公共政策学院

出　　处：《中华医院管理杂志》2013年第10期781-784,共4页Chinese Journal of Hospital Administration

基　　金：上海市浦东新区卫生系统优秀青年医学人才培养计划（PWRq2011-27）;上海市浦东新区卫生系统学科带头人培养计划（PWRd2012-03）

摘　　要：目的开展浦东新区社区卫生服务机构绩效评估研究。方法参照卫生部标准，研制适合本区域的评估指标体系，对44家社区卫生服务中心2011年度运行状况进行横断面调查，并采用描述性统计、相关系数及多因素线性回归进行资料分析。结果社区卫生服务中心总体绩效均分为78．53分，56．83％的机构总体绩效处于中等水平及以下，机构管理、公共卫生服务、基本医疗服务、中医药服务及综合满意度维度的平均得分率分别为68．49％、89．09％、63．51％、87．80％和76．32％。信息化程度（O．477）、区域位置（O．331）及参与联合体（-0．309）对总体绩效具有显著影响；信息化程度（0．302）和家庭医生试点（0．301）对基本医疗服务绩效有显著影响。结论浦东新区社区卫生服务机构绩效还有较大改进空间，区域位置和信息化程度是影响绩效最为关键的因素，但与规模大小无关。建议调整不均衡发展格局、强化社区卫生信息化建设、扩大家庭医生试点和健全医疗联合体利益机制。Objective To evaluate the performance of community health institutions of Pudong new district. Methods According to the criteria of the Ministry of Health of China, the performance evaluation system appropriate for local area was developed. A cross-sectional survey was conducted at 44 community health centers, and data was analyzed using descriptive statistics, correlation coefficients and multi-factor linear regression. Results The average score of total performance of these 44 community health centers was 78.53. The average scoring rate for institution management, public health service, basic medical care service, CTM service, and comprehensive satisfaction was 68. 49%, 89.09%, 63.51%, 87. 80%, 76.32%, respectively. Degree of informationization （ 0. 477 ）, regional location （ 0. 331 ） and participating in medical consortia（--0. 309）had significant impact on the total performance. Degree of informationization（0. 302）and pilots for family doctors（0. 301）had significant impact on the basic medical service performance. Conclusion There is a tremendous room for performance improvement for community health institutions in Pudong. Regional location and degree of informationization were the most crucial factors affecting the performance, irrelevant to institutional sizes. Proposals were raised for strengthening the construction of informationization, expanding pilots for family doctors, perfecting the mechanism of medical consortia.

关 键 词：浦东新区 社区卫生服务 绩效评估 影响因素 

分 类 号：R197.2[医药卫生—卫生事业管理]