摘要
目的建立一套契合于山区特征的社区卫生服务机构家庭医生签约服务绩效考核方案,以期达到调动山区家庭医生的服务积极性,提升签约服务效果的目的。方法2019年9月—2020年5月,通过问卷调查、关键知情人访谈、专题小组讨论及典型个案的实地研究以描述山区家庭医生签约服务现况,设定适宜京郊山区的家庭医生签约服务绩效考核方案,并评价方案在机构的实际应用效果。其中,定性资料采取主题框架法、内容分析法等进行描述性分析和解释性分析。结果完成社区卫生服务机构家庭医生签约服务绩效考核方案的设计,以标准化工作量法和目标管理法相结合的方式,从服务数量、服务质量、满意度及目标完成情况4个方面对山区家庭医生签约服务进行考核。开展个案研究的琉璃庙镇社区卫生服务中心签约居民对家庭医生签约服务的认知度、满意度、签约知晓率分别从2019年的55.00%(排名第12)、50.00%(排名第9)、60.00%(排名第4)跃升至2020年度的92.00%、92.49%、89.80%,3项指标均位居全区16家社区卫生服务中心第1名。结论构建符合山区工作特点的家庭医生签约服务绩效考核方案可以达到调动家庭医生工作积极性、推进家庭医生签约服务工作良性发展的目的。
Objective To establish a set of performance appraisal schemes for the contracted service of family doctors in community health service agencies in the mountainous area to mobilise the enthusiasm of family doctors in mountainous areas and improve the effect of contracted services.Methods From September 2019 to May 2020,through questionnaire surveys,key insider interviews,focus group discussions and field studies of typical cases,researchers can describe the current situation of contracted family doctor services in mountainous areas,establish a performance appraisal plan for family doctors contracted in mountainous areas in Beijing and evaluate the actual application effect of the program in the organisation.The qualitative data adopted the thematic framework method and content analysis method for descriptive analysis and explanatory analysis.Results The research completed the design of the performance appraisal plan for family doctors contracted by community health service institutions.Using a combination of standard chemical quantity method and target management method,the assessment of contracted family doctor services in mountainous areas was carried out from the four dimensions of service quantity,service quality,satisfaction and target completion.The awareness,satisfaction and awareness rate of contracted services of family doctors by the residents of Liulimiao Community Health Service Centre who carried out the case study increased from 55.00%(ranking 12th),50.00%(ranking 9th)and 60.00%(ranked 4th)in 2019 to 92.00%,92.49%and 89.80%in 2020,respectively.All three indicators ranked first amongst the 16 community health service centres in the district.Conclusion Constructing a performance appraisal program for contracted family doctor services that conforms to the work characteristics of mountainous areas can mobilise family doctors'enthusiasm for work and promote the benign development of family doctors'contracted services.
作者
陈静静
彭迎春
王海利
杨凯文
CHEN Jing-jing;PENG Ying-chun;WANG Hai-li;YANG Kai-wen(Liulimiao Community Health Service Center,Huairou District,Beijing 101409,China;不详)
出处
《中华全科医学》
2022年第10期1718-1723,共6页
Chinese Journal of General Practice
基金
首都卫生发展科研专项项目(首发2018-3P-7141)
北京市社会科学基金项目(19JDSRB008)
北京市怀柔区卫生健康委员会2019年科研项目(2019-A-002)。
关键词
标准化工作量法
目标管理法
家庭医生签约服务
绩效考核
社区卫生服务
Standard chemical quantity method
Target management
Contracted family doctor services
Performance appraisal
Community health services
