摘要
目的对2017年度全市40个区(县)的国家基本公共卫生服务项目实施评估,使重庆市国家公共卫生服务项目实施与管理更加规范,并讨论绩效考核指标体系的优缺点。方法将重庆市40个区(县)根据区域经济发展水平分为主城区、近郊区、渝东北和渝东南,共4个区域,应用更适合重庆实际情况的基本公共卫生服务绩效考核指标体系(即组织管理、资金管理、项目执行、项目效果、家庭医生签约服务,共5个1级指标)对全市2017年度的基本公共卫生服务项目于2017年12月份进行现场考核,不同区域之间的考核结果进行差异性分析。结果考核指标除组织管理、资金管理外,总分、项目执行、项目效果和家庭医生签约服务在4个不同经济区域比较差异有统计学意义(均P<0.05),主城区各项指标得分(组织管理6.23分、资金管理4.76分、项目执行69.35分、项目效果8.99分、家庭医生签约服务2.07分)都处于全市前列,渝东南经济发展区各项得分(组织管理6.07分、资金管理4.48分、项目执行60.94分、项目效果8.42分、家庭医生签约服务2.04分)处于末位;项目效果考核指标在各区县得分普遍偏低。结论通过考核评价,重庆市基本公共卫生服务区域间差距明显,基本公共卫生服务均等化仍需提高;重庆市基本公共卫生服务质量不高,效果不佳;新指标体系弥补了对重庆市基本公共卫生服务绩效考核面不全、指标简单不够量化等不足。
Objective To evaluate national basic public health service projects in 40 districts(counties)of Chongqing in 2017,so making the implementation and management of national public health service projects in Chongqing more standardized,and discuss the advantages and disadvantages of the performance evaluation index system.Methods According to the level of regional economic development,40 districts(counties)in Chongqing were divided into four regions:main urban area,suburban area,Northeast Chongqing and Southeast Chongqing.The performance evaluation index system of basic public health services(organization management,fund management,project implementation,project effect and family doctor signing service,a total of five level-1 indicators)more suitable for the actual situation of Chongqing was applied to on site evaluate the basic public health service project in 2017 in December 2017.The difference of the performance evaluation results among different regions was analyzed.Results Except organizational management and capital management,the other indicators were significant differences in the four different economic regions,which were total score,project execution,project effect and family doctor contract service(all P<0.05).The scores of all indicators(organizational management 6.23 points,capital management 4.76 points,project execution 69.35 points,project effect 8.99 points and family doctor contract service 2.07 points)in the main urban area were in the forefront of Chongqing.The scores(organizational management 6.07 points,capital management 4.48 points,project execution 60.94 points,project effect 8.42 points and family doctor contract service 2.04 points)of the economic development area in southeast Chongqing were in the last place.The scores on project effect were generally low in each district and county.Conclusion According to the evaluation,there is a clear regional gap in basic public health services in Chongqing,and the equalization of basic public health services still needs to be improved.The quality of basic public health services is not high and the effect is not so good.The new index system makes up for the deficiencies of the performance evaluation of basic public health services in Chongqing,simple and quantitative indicators,etc.
作者
谭涛
成撒诺
邓宇
TAN Tao;CHENG Sa-nuo;DENG Yu(Chongqing Health Statistical Information Center,Chongqing 401120,China;不详)
出处
《中华全科医学》
2021年第11期1956-1959,共4页
Chinese Journal of General Practice
基金
2020年度重庆市教育委员会人文社会科学研究项目(20SKGH034)
重庆医药高等专科学校科研项目(ygz2019115)。
关键词
基本公共卫生服务
绩效考核
指标体系
实证研究
Basic public health services
Performance evaluation
Index system
Empirical study
