摘要
目的:借鉴平衡计分卡的管理理念,运用德尔菲法构建卫生监督执法效能评价指标体系,为卫生监督管理和效能评价工作提供依据和参考。方法:以平衡计分卡模型作为理论框架,构建初级指标体系,成立德尔菲专家咨询小组,运用问卷调查法了解专家对评价指标的意见,最终使专家意见达成一致。结果:专家积极系数均为100%,专家权威系数>0.7。构建包括卫生监督能力、卫生监督效率、卫生监督效果、卫生监督效益4个一级指标、14个二级指标、56个三级指标的评价指标体系。结论:在卫生监督执法效能评价中,应注重对监督能力、监督效率、监督效果、监督效益4个维度的全流程、全方位评价,力求评价工作系统、全面、客观。卫生监督机构的人员、编制、经费、执法装备、信息化建设是影响执法效能的主要因素。在卫生监督执法实践工作中,应聚焦行政执法的主责主业,推行“双随机、一公开”监督检查模式,提升执法办案的质量和效率,做到严格规范公正文明执法,提高社会公众对卫生监督执法的满意度。
Objective:Based on balanced scored card management,the Delphi method was applied to set up the evaluation system of health supervision and law enforcement,so as to provide references for the practice use of health supervision and law enforcement.Methods:Taking the balanced scored card model as the theoretical framework,the primary indicator system was constructed.Next,the Delphi expert consultation group was established,and the questionnaire was sent to the experts to understand the opinions of the experts on the evaluation indicators,thus reaching a consensus among their opinions.Results:the experts'responses were 100%,the experts'authoritative coefficients were above 0.7.The index system of health supervision and law enforcement was obtained,including the capacity,efficiency,effect,and beneficial result of health supervision.The index system of health supervision and law enforcement was categorized into 4 first-level indicators,14 second-level indicators,and 56 third-level indicators.Conclusion:In the evaluation of health supervision and law enforcement effectiveness,attention should be paid to the whole process and all-around evaluation of the four dimensions,i.e.,capacity,efficiency,effect,and beneficial result of health supervision.The evaluation process should be systematic,comprehensive,and objective.The personnel,establishment,funds,law enforcement equipment,and information construction of health supervision institutions are the main factors that affect the effectiveness of law enforcement.In the practice of health supervision and law enforcement,implementers should focus on the main responsibility and goal of administrative law enforcement,implement the"double random,one open"supervision and inspection mode,improve the quality and efficiency of law enforcement and case handling,which can establish the environment with the strict,standardized,impartial and civilized law enforcement,and improve the public's understanding of the law,and optimize the public satisfaction with health supervision and law enforc
作者
范冠宇
李欣茹
赵婷
李晶华
FAN Guanyu(School of Public Health,Jilin University,Changchun,Jilin,130021,China)
出处
《医学与社会》
北大核心
2023年第4期50-55,62,共7页
Medicine and Society
基金
河南省卫生和计划生育委员会委托郑州大学联合研究课题,编号为20180326A。
关键词
卫生监督
执法效能
评价
指标体系
Health Supervision
Law Enforcement Effectiveness
Evaluation
Index System
