基于RBRVS的村级基本公共卫生服务相对工作量测量  

Relative workload measurement based on RBRVS theory for village level basic public health service projects

作　　者：黄月英[1] 陈茁 张冬兰 付谦[1] 明慧 邵天[1] 付航[1] 唐尚锋 贺知菲 咸越 刘春燕[1] 邵飘飘 冯占春[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北省人文社科重点研究基地农村健康服务研究中心,武汉430030 [2]美国佐治亚大学 [3]湖北省武汉市中心医院 [4]西南政法大学 [5]中山大学孙逸仙纪念医院

出　　处：《中华医院管理杂志》2018年第1期67-70,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金（71473097,71273097）

摘　　要：目的科学测量村级基本公共卫生服务项目的相对工作量。方法采用问卷调查和知情人访谈方法，于2016年6—12月对湖北潜江和重庆黔江两个地区12个乡镇的257名乡村医生和24名乡镇卫生院公共卫生行政管理人员进行调查；采用以资源投入为基础的相对价值量表（RBRVS），对村级卫生人员有能力承担的基本公共卫生服务项目进行筛选，并对这些项目的相对工作量进行测量。结果共对35项村级有能力承担的基本公共卫生服务项目的相对工作量进行了测量，以高血压随访工作量100为基准，村级所承担的基本公共卫生服务项目单位工作量为11～963。结论使用RBRVS测量村级基本公共卫生服务项目的相对价值具有合理性，可以为村级基本公共卫生服务项目的定价及其动态调整提供支撑。Objective To scientifically measure the workload of basic public health services project on village level. Methods 257 village doctors and 24 public health administrators who work in rural health clinics in Qianjiang city, Hubei province and Qianjiang distreit, Chongqing city were sampled, with questionnaire survey and key informant in-depth interview methods used to screen basic public health service projects affordable on village level, for workload measurement. Results 35 basic public health service projects were chosen as the measurement projects regarding their relative workload. Hypertension follow-up workload 100 was set as the benchmark, finding the rest relative workload of other projects range from 11 to 936. Conclusions It is reasonable to use the relative value measurement based on RBRVS theory on village level basic public health service projects. Results of this study can support the pricing and further dynamic modification of the basic public health service projects.

关 键 词：乡村卫生服务 基本公共卫生服务 相对价值量表 工作量 测量 

分 类 号：R197.1[医药卫生—卫生事业管理]