国外常用基层医疗服务质量评价工具及其对我国的启示  

Common Foreign Quality Evaluation Tools of Primary Health Care and Their Implications for China

作　　者：刘力滴 廖晓阳[1] 赵茜[1] 郭一铭 文雨琪 刘长明 方湘 LIU Lidi;LIAO Xiaoyang;ZHAO Qian;GUO Yiming;WEN Yuqi;LIU Changming;FANG Xiang(General Practice Medical Center,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Infectious Diseases,Chengdu Seventh People's Hospital,Chengdu 610041,China)

机构地区：[1]四川大学华西医院全科医学中心,四川省成都市610041 [2]四川省成都市第七人民医院感染性疾病科,610041

出　　处：《中国全科医学》2024年第1期27-35,共9页Chinese General Practice

基　　金：四川省家庭医生示范工作室项目(TJZ201909)。

摘　　要：基层医疗服务(PHC)是卫生服务体系的“网底”,其质量不仅关系到分级诊疗制度建设,而且影响居民健康水平。科学合理地评价PHC质量是其质量提升的“基石”,但我国尚未形成统一标准化的PHC质量评价体系。因此,本文基于评价侧重点将国际上常用PHC质量评价工具分为4类:基于PHC内涵的质量评价工具、强调PHC功能特征的质量评价工具、基于需方和/或供方感知的PHC质量评价工具、其他针对特定疾病的工具或指标体系,分别介绍和比较各工具内容、特点,分析其适用性和不足,梳理工具的变迁,以期为我国PHC质量评价工具构建提供参考。Primary health care(PHC)is the bottom of the health care system,and its quality not only relates to the construction of hierarchical medical system,but also affects the health level of residents.Scientific and reasonable evaluation of PHC quality is the cornerstone of quality improvement,however,a unified and standardized quality evaluation system of PHC has not been developed in China.Therefore,the international quality evaluation tools of PHC are classified into four categories based on the evaluation focus:quality evaluation tools based on PHC connotations,quality evaluation tools emphasizing the functional characteristics of PHC,quality evaluation tools based on the perceptions of demand and/or supply side stakeholders,and other disease-specific tools or indicator systems.The content and characteristics of each tool were introduced and compared separately,their applicability and shortcomings were analyzed,and the evolution was reviewed,in order to provide reference for the construction of PHC quality evaluation tools in China.

关 键 词：基层医疗服务 服务质量 质量保证 卫生保健 评价工具 综述 

分 类 号：R197[医药卫生—卫生事业管理]