重庆市基本公共卫生服务绩效考核指标体系构建研究  

Development of a Performance Appraisal System for Essential Public Health Service Delivery Institutions in Chongqing

作　　者：成撒诺 何坪[1] 邓宇[1] 潘伦[1] 胡彬 吴建华 邓忠泉 CHENG Sa-nuo;HE Ping;DENG Yu;PAN Lun;HU Bin;WU Jian-hua;DENG Zhong-quan(School of Clinical Medicine,Chongqing Medical and Pharmaceutical College,Chongqing 401331,China;Chongqing Community and Rural Health Association,Chongqing 400030,China;Health and Family Planning Commission of Chongqing,Chongqing 401147,China)

机构地区：[1]重庆医药高等专科学校临床医学院,重庆市401331 [2]重庆市社区与农村卫生协会,400030 [3]重庆市卫生和计划生育委员会,401147

出　　处：《中国全科医学》2018年第10期1161-1166,共6页Chinese General Practice

基　　金：重庆市教育委员会人文社会科学研究项目(16SKGH236);重庆市卫生计生委医学科研项目(2016ZDXM028);重庆市科委项目(cstc2016jccx BX0036)

摘　　要：目的构建重庆市基本公共卫生服务绩效考核指标体系,为重庆市及西部各地区公共卫生服务项目绩效评估提供客观参考。方法结合我国和重庆市相关政策,采用文献分析等研究方法,以2016年重庆市基本公共卫生服务项目绩效评估指标体系为基础,初步建立绩效考核评估体系并编制专家咨询问卷。采用德尔菲法,经两轮专家咨询,确定绩效考核指标及其权重系数。结果于2016年9月—2017年3月,采用德尔菲法进行专家咨询。两轮专家咨询表的回收率均为100.0%。专家总体权威程度系数(Cr)为0.878。第1轮和第2轮专家咨询的指标总体协调系数(W)分别为0.320和0.386。最终构建了由5项一级指标、26项二级指标、67三级指标及其权重构成的评价指标体系。本研究指标体系总体Cronbach'sα系数为0.666。结论本研究构建了重庆市基本公共卫生服务绩效考核指标体系,专家的积极程度和权威程度均较高,第2轮专家意见协调程度优于第1轮,专家意见协调性较好。该指标体系科学合理,能客观评估重庆市基本公共卫生服务水平。Objective To develop a performance appraisal system for essential public health service delivery institutions in Chongqing,providing an objective reference for evaluating the performance of institutions in Chongqing and other regions of western China in implementing public health programs.Methods We developed the initial Performance Appraisal System for Essential Public Health Service Delivery Institutions in Chongqing(PASEPHSDIC)and Expert Consultation Questionnaire based on the relative policies in Chongqing and China,literature review and other methods as well as the PASEPHSDIC(2016 edition).Using Delphi method,we determined the indicators and corresponding weight coefficients of the final version of PASEPHSDIC.Results From September 2016 to March 2017,we conducted 2 rounds of Delphi expert consultation,and both of them achieved 100.0%response rate.The overall authority coefficient(Cr)was 0.878.The Kendall's W for the first and second round of consultation was 0.320 and 0.386,respectively.The final version of PASEPHSDIC consists of 5 firstlevel indicators,26 second-level indicators and 67 third-level indicators,with weight assigned to each indicator.The Cronbach'sαfor the whole system was 0.666.Conclusion The PASEPHSDIC was developed with high response rate,authority degree and good consensus from experts,although the Kendall's W of the second round of consultation was higher than that of the first round.This system is scientific and reasonable,which can be used as a tool for objectively assessing the quality of essential public health services in Chongqing.

关 键 词：公共卫生服务 绩效考核 德尔菲法 指标体系 

分 类 号：R199[医药卫生—卫生事业管理]