摘要
目的:构建广东省卫生首席专家下基层项目绩效评估指标体系,为进一步评估卫生首席专家下基层项目绩效提供参考和借鉴。方法:以多那比第安的结构—过程—结果评价模型为基础,并参考国家和广东省有关政策及相关文献,初步拟定广东省卫生首席专家下基层项目绩效评估指标群。于2021年12月—2022年2月,应用德尔菲法对16位来自广东省高等医学院校、卫生健康行政部门和医疗机构的专家进行两轮咨询,以确定评估指标体系,采用百分权重法计算指标权重。结果:两轮咨询专家积极系数分别为94.11%和100.00%,专家权威程度为0.84和0.87,肯德尔和谐系数分别为0.229和0.318,第2轮咨询各项指标变异系数均≤0.20,专家意见趋于一致。最终构建了由3项一级指标、7项二级指标和25项三级指标及其权重构成的评估指标体系。结论:本研究构建的绩效评估指标体系及指标权重具有较高的科学性和可靠性,可以用于卫生首席专家下基层项目绩效评估。
OBJECTIVE To establish the index system for assessing the performance of Chief Medical Experts Supporting Primary Health Care Institutions Project in Guangdong province,so as to provide objective evidences for performance evaluation of the pro⁃gram.METHODS Based on Donabedian’s structure-process-outcome model,referring to the relevant policies of Guangdong and China as well as the review of related articles,it developed a preliminary performance evaluation index system for Chief Medical Experts Supporting Primary Health Care Institutions Project in Guangdong province.16 experts from medical universities,health administrative departments and medical and health institutions in Guangdong province were selected,two rounds of Delphi expert consultation were carried out to determine the evaluating indicators and their weights from December 2021 to February 2022.RESULTS The active coefficient of experts in the two rounds of Delphi consultation was 94.11%and 100.00%,the degree of special⁃ist authority was 0.84 and 0.87,and the Kendall’s W coefficient of the specialists opinion was 0.229 and 0.318,respectively.The coefficient of variation of each index in the second round of consultation was 0.20 or less,and expert opinions tended to be unani⁃mous.Finally,the index system was established including 3 first grade indexes,7 second grade indexes,and 25 third grade indexes.CONCLUSION The performance evaluation index system and indicator weights constructed in this study was scientific and reliable,which could be applied to evaluate the performance of Chief Medical Experts Supporting Primary Health Care Institutions Project in Guangdong province.
作者
张立威
李岚
李靖
Zhang Liwei;Li Lan;Li Jing(School of Public Health,Guangzhou Medical University,Guangzhou,Guangdong,511436,China)
出处
《中国初级卫生保健》
2024年第3期17-20,共4页
Chinese Primary Health Care
基金
广东省医学科研基金指令性课题项目(C2021070)
广东省卫生健康委员会委托项目(2022)。
关键词
卫生首席专家
基层医疗卫生机构
绩效评估
指标体系
德尔菲法
chief medical experts
primary health care institution
performance evaluation
index system
Delphi method
