Implementation outcome of the"Two-Card System"for basic public health services in Suixi County
Objective To evaluate the implementation outcome of the"Two-card System"for basic pub-lic health services in Suixi County from 2020 to 2022,and to provide reference for further improvement in the per-formance management of basic public health services.Methods Data were collected of basic public health serv-ice projects included in the"Two-card System"in Suixi County from 2020 to 2022,and the completion of perform-ance evaluation indicators were evaluated through annual longitudinal analysis of specific changes and overall trends in each indicator.Meanwhile,the differences in medical scores among different townships and villages were analyzed with nonparametric rank sum test.Results Since the implementation of the"Two-card System"for bas-ic public health services,the implementation outcomes of basic public health service projects in the entire county had been improving year by year.At the same time,there was a significant difference in job scores among person-nel.After the conversion into corrected job scores,the income gap became obvious,which stimulated competition awareness and preliminarily formed a mechanism of"more pay for more work,higher income for better perform-ance,and no pay for no work".Conclusions The implementation of the"Two-card System"performance evalua-tion for basic public health services in Suixi County has promoted the implementation and development of basic public health service projects,improved residents sense of achievement and employees working enthusiasm.How-ever,there are few indicator projects,and further improvement is needed for evaluation indicators.
Basic public healthTwo-card systemPerformance evaluationOutcome assessmentRural doctorHealth education