Background The family doctor contract service is being vigorously promoted.Compared with the individual performance appraisal scheme,the performance appraisal scheme based on the family doctor team including the two processes of"first distribution"and"secondary distribution"is more capable of mobilizing the work motivation of family doctor team members,thus improving service efficiency and quality.Objective To develop the"first distribution"indicator system of family doctor team performance based on contract service fee.Methods The draft of the"first distribution"indicator system of family doctor team performance was preliminarily formulated through literature analysis and semi-structured interviews.On the basis of the draft,an expert consultation questionnaire was designed,and two rounds of expert consultation were implemented and completed from October 2021 to April 2022 to develop the"first distribution"indicator system of family doctor team performance based on contract service fee.Results The recovery rate of the two rounds of expert consultation questionnaires was 100.0%.The authority coefficient of the first round of correspondence was 0.761 6,and the Kendall coordination coefficients of the two rounds of consultations were 0.067(P<0.001)and 0.712(P<0.001),respectively.Finally,the"first distribution"indicator system of family doctor team performance was finally constructed,including 3 primary indicators and 15 secondary indicators.Conclusion The performance allocation system constructed in this study based on contract service fee,which includes three primary indicators(effective contracting,effective service,and effective fee control),has a certain degree of logic and scientificity that reflects the labor value of the contracted service provided by the family doctor team,and is conducive to special incentive effect of the contract service fee.
关键词
社区卫生服务/家庭医生签约服务/家庭医生团队/绩效考核/指标体系
Key words
Community health services/Contracted family doctor services/Family physician team/Performance evaluation/Indicator system
万方数据