首页|基于SPO模型的广西地区家庭医生签约服务绩效评价指标体系构建研究

基于SPO模型的广西地区家庭医生签约服务绩效评价指标体系构建研究

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目的:构建广西地区家庭医生签约服务绩效评价指标体系.方法:通过文献研究、专家访谈与论证等方法,基于"结构-过程-结果"(Structure-Process-Outcome,SPO)模型框架,初步构建广西家庭医生签约服务绩效评价指标体系并编制专家咨询问卷;于2022年6-11月运用德尔菲法,经两轮专家咨询对指标体系进行优化和确定,并通过层次分析法计算指标体系权重.结果:两轮咨询的专家积极系数分别为96%(24/25)和100%(24/24);专家权威系数分别为0.838、0.848;专家协调系数P值<0.01,第二轮专家协调系数W高于第一轮,专家意见趋于一致;各级指标CR均<0.1,指标权重设置比较合理和准确.最终建立包括3个指标维度、11个一级指标和48个二级指标的家庭医生签约服务绩效评价指标体系.结论:最终构建的广西地区家庭医生签约服务绩效评价指标体系,具备一定的适用性、可操作性及科学性,为西部欠发达地区家庭医生签约服务提供了科学、合理的绩效评价工具.
Study on the Construction of Performance Evaluation Index System of Family Doctor Contract Service in Underdeveloped Areas in the Area of Guangxi on SPO Model
OBJECTIVE To construct the performance evaluation index system of family doctor contract service in western underdeveloped areas.METHODS By using the methods of literature research,expert interviews and demonstration,and based on the"Structure-Process-Outcome"(SPO)model framework,it preliminarily constructed the performance evaluation index system of contracted service of family doctors and compiled the expert consultation questionnaire.From June to November 2022,Delphi method was used to optimize and determine the index system through two rounds of expert consultation,and analytic hierarchy process was used to calculate the weight of the index system.RESULTS The positive coefficients of experts in the two rounds of consultation were 96%(24/25)and 100%(24/24),respectively.The expert authority coefficients were 0.838 and 0.848,respectively.The expert coordination coefficient value of P were<0.01,and the expert coordination coefficient W in the second round was greater than that in the first round,and the expert opinions tended to be consistent.The index CR at all levels was less than 0.1,and the index weight setting was reasonable and accurate.Finally,a performance evaluation index system of family doctor contract service including 3 index dimensions,11 first-level indicators and 48 second-level indicators was established.CONCLUSION The performance evaluation index system of family doctor contract service in western underdeveloped areas is finally constructed in the study,which is applicability,operable and scientific to a certain extent,so as to provide a scientific and reasonable performance evaluation tool for family doctor contract service in western underdeveloped areas.

family doctor contract serviceperformance evaluationindicator systemwestern underdeveloped areas

谢月英、欧晏辰、苏奕成、王振邦、赵越、张鑫、左延莉

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中南大学湘雅二医院桂林医院,广西 桂林 541002

广西医科大学,广西 南宁 530021

南方医科大学南方医院白云分院,广东 广州 510599

广西壮族自治区疾病预防控制中心,广西 南宁 530021

广西医科大学第一附属医院,广西 南宁 530021

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家庭医生签约服务 绩效评价 指标体系 西部欠发达地区

2025

中国初级卫生保健
中国初公卫生保健基金会,黑龙江省农村卫生协会

中国初级卫生保健

影响因子:0.389
ISSN:1001-568X
年,卷(期):2025.39(1)