| 引用本文：尹德卢, 华兵, 张德富, 王利红, 殷涛, 辛倩倩, 杨慧敏, 陈博文.基于“相对价值”量化标准的基层医疗卫生服务机构内部绩效考核模式[J].中国卫生政策研究,2019,12(1):55-59 |
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| 基于“相对价值”量化标准的基层医疗卫生服务机构内部绩效考核模式 |
| 投稿时间：2018-06-05 修订日期：2018-11-23 PDF全文浏览 HTML全文浏览 |
| 尹德卢1, 华兵2, 张德富3, 王利红1, 殷涛1, 辛倩倩1, 杨慧敏1, 陈博文1 |
1. 首都儿科研究所 北京 100020;
2. 郑州市社区卫生服务管理中心 河南郑州 450012;
3. 河南省郑州市中牟县卫生健康委员会 河南郑州 451450 |
| 摘要:目的：探索建立基于“相对价值”量化标准的基层医疗卫生服务机构内部绩效考核模式。方法：以河南郑州市某县为例，采用研讨会以及访谈等方法，逐一确定案例地区各基层医疗卫生服务项目“相对价值”的量化标准（以“当量值”计）；在量化标准基础上，构建基层医疗卫生服务机构内部绩效考核指标体系和实施路径。结果：共建立城乡5大类180个基层医疗卫生服务项目“相对价值”的量化标准，其中社区医疗服务项目52个、社区护理服务项目16个、社区药剂项目5个、社区辅助检查服务项目23个和社区公共卫生服务项目84个。城乡5大类项目当量值平均为3.99/4.11、1.49/1.77、0.5/0.5、0.96/0.96，2.21/2.58个标准服务当量。结论：基于“相对价值”量化标准，基层医疗卫生服务机构内部绩效考核指标体系简化为“岗位工作当量值总数”X“岗位工作质量效果系数”。 |
| 关键词:基层医疗卫生 相对价值系数 量化标准 绩效考核 |
| 基金项目:国家自然科学基金（71673191）；北京市自然基金（9174034） |
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| Practical model of performance evaluation of primary health care services institutions based on relative value quantitative standards |
| YIN De-lu1, HUA Bing2, ZHANG De-fu3, WANG Li-hong1, YIN Tao1, XIN Qian-qian1, YANG Hui-min1, CHEN Bo-wen1 |
1. Capital Institute of Pediatrics, Beijing 100020, China;
2. Zhengzhou Community Health Management Center, Zhengzhou Henan 450012, China;
3. Health Commission of Zhongmu County, Zhengzhou Henan 451450, China |
| Abstract:Objectives:To establish an internal performance evaluation model for primary health care service institutions based on the relative value quantitative standards.Methods:Taking one county in Zhengzhou city of Henan province as case study, focus groups and interviews are conducted to develop a list of community health services, service contents, and the relative value quantitative standards. Based on the standard clinic visit, person time, technology content, hardness, and risks are considered in developing the relative value quantitative standards of each type of primary health careinstitutions, and the relative value-based performance assessment model is established.Results:The relative value quantitative standards of 180 primary health care institutions in 5 categories are determined in this paper. The average relative value quantitative standards of the 5 categories in urban and rural areasrespectively are 3.99/4.11 (essential medical services), 0.5/0.5(nursing services), 0.96/0.96 (pharmacy services), 2.21/2.58 (auxiliary examination services), and 2.21/2.58 (public health care services).The relative value-based volume indicator, as well as quality and outcome indicators,are included in the performance evaluation indicators. |
| Key words:Primary health care Relative value index Quantitative standards Performance evaluation |
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