| 引用本文：尚文茹, 李秀霞, 魏莉莉, 邢新, 殷敏, 令娟, 李亚男, 荀杨芹, 毛国瑞, 朱怡良, 杨克虎.农村卫生服务质量评价指标体系研究进展[J].中国卫生政策研究,2017,10(3):61-69 |
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| 农村卫生服务质量评价指标体系研究进展 |
| 投稿时间：2016-08-02 修订日期：2016-11-29 PDF全文浏览 HTML全文浏览 |
| 尚文茹1,2,3, 李秀霞2,3, 魏莉莉1,2,3, 邢新1,2,3, 殷敏1,2,3, 令娟2,3, 李亚男1,2,3, 荀杨芹1,2,3, 毛国瑞4, 朱怡良5, 杨克虎2,3 |
1. 兰州大学公共卫生学院 甘肃兰州 730000;
2. 兰州大学循证医学中心 兰州大学基础医学院 甘肃兰州 730000;
3. 甘肃省循证医学与临床转化重点实验室 甘肃兰州 730000;
4. 科罗拉多州立大学社会学系 美国科罗拉多州柯林斯堡 80523;
5. 南佛罗里达大学公共卫生学院 美国佛罗里达州坦帕 FL33620 |
| 摘要:目的：分析农村卫生服务质量评价指标体系的研究现状，为探索适合我国农村地区的卫生服务质量评价指标体系提供参考。方法：检索中外文数据库及卫生政策研究的相关网站，检索时间为2016年4月，纳入农村卫生服务质量评价指标体系的相关研究文献，利用EndNote X7与Excel 2007对纳入文献进行筛选管理和数据分析。结果：初步检索获得相关文献5 374篇，依据纳入排除标准筛选最终纳入63篇：第一篇文献发表于1988年，2009年发表文献量最多（11篇，17.5%），2010—2015年间发表文献44篇（69.8%）；纳入文献中9篇（14.3%）发表在科学引文索引期刊，7篇（11.1%）发表在中国核心期刊，8篇（12.6%）发表在普通期刊，37篇（58.7%）为学位论文；54篇（85.7%）观察性研究中，横断面研究达52篇（82.5%）。文献涉及21种农村卫生服务质量评价指标体系，其指标选择主要采用文献研究法（49%）；指标权重确定主要应用经验赋值法（47.4%）；指标评价方法以综合评价法（36.8%）为主。结论：农村卫生服务质量评价指标体系研究多以横断面调查为主，涉及指标体系虽多，但方法尚不完善，内容针对性不强，且缺乏实践验证。所以，建立符合我国实际的农村卫生服务质量评价指标体系十分重要。 |
| 关键词:农村卫生服务 质量评价指标体系 证据分析 文献计量学 |
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| Research on quality evaluation index system of the rural health service |
| SHANG Wen-ru1,2,3, LI Xiu-xia2,3, WEI Li-li1,2,3, XING Xin1,2,3, YIN Min1,2,3, LING Juan2,3, LI Ya-nan1,2,3, XUN Yang-qin1,2,3, MAO Guo-rui4, ZHU Yi-liang5, YANG Ke-hu2,3 |
1. School of Public Health of Lanzhou University, Lanzhou Gansu 730000, China;
2. Evidence-Based Medicine Center, School of Basic Medical Science, Lanzhou University, Lanzhou Gansu 730000, China;
3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou Gansu 730000, China;
4. Department of Sociology, Colorado State University, Fort Collins Colorado, 80523, USA;
5. School of Public Health, University of Florida, Tampa Florida, FL 33620, USA |
| Abstract:Objective:This study uses the evidence-based principle to analyze the existing quality evaluation index system for the rural health service, and provides a reference for a suitable exploration of the system in the Western areas of China. Methods:Chinese databases (CBM, CNKI, VIP, WANFANG), international databases (Pubmed, Web of Science, Cochrane Library, Campbell Library) and other related Websites were searched. The time and language of literatures published was in April 2016 but unlimited, which was related to the evaluation index system on the quality of the rural health service. The EndNote X7 and Excel 2007 were used for data description and analysis. Results:5374 relative articles were preliminary searched and 63 articles of the evaluation index system of health services were finally retrieved and included in the inclusion criteria. The first was published in 1988; and the most in 2009 count 11 articles (17.5%). From 2010 to 2015, 44 articles (69.8%) were released. 9 articles (14.3%) in Science Citation index Database, 7 articles (11.1%) were published in the periodicals of Chinese Science Citation Database, 8 articles (12.6%) in the general periodicals, 37 articles academic dissertation which count (65.6%), observational studies found 54 articles estimated to 85.7%, and cross-sectional studies earned 52 articles counting 82.5%. To find the above results, 21 kinds of rural health service quality evaluation index systems were involved. The index evaluation methods mainly adopt comprehensive evaluation method (6 articles, 9.5%) and are used to evaluate the quality of rural health service. The index selection method is mainly used in the literature research (16 articles, 25.4%) and the index weight adopts experience assignment method (9 articles, 14.3%). Conclusions:The present research on rural health service quality evaluation index system is mainly based on cross-sectional survey, but there is a lack of empirical researches and high quality research evidence. Though there are many methods to select index systems, they are not perfect enough, the pertinence of indicator content is not strong and the practice is not valid. Therefore, it is very important to establish an evaluation index system which is in line with health service quality needs in rural areas in order to promote the quality of the service provided for healthcare of the rural residents in China. |
| Key words:Rural health service Quality evaluation index system Evidence analysis Bibliometrics |
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