基于时空评价模型的深圳社区健康服务中心绩效评估

Performance Evaluation Based on Spatial-temporal Measurement Model on Community Health Service Centers in Shenzhen City

目的对深圳社区健康服务中心15年的工作进行绩效评估,为推动社区健康服务工作提供依据和参考。方法基于绩效评估框架和指标建立时空评价模型,模型主要分为三部分:输入、输出和结果。2008—2011连续4年,按各区社区数的10%调查了60个社区,每个社区调查100名居民,共对6 000名居民进行满意度调查。结果根据评价指标统计出了各年的指标数据。深圳市在人力资源投入方面个别指标未达到国家标准;2010年起人均基本公共卫生服务经费增加到40元;一直坚持院办院管的管理体制,并以这一基本制度为核心,不断完善配套政策体系和管理制度,使医院与社区健康服务中心之间基本建立了良好的分工协作机制等。结论深圳市基本完成社区健康服务中心网点布局,但队伍职业化需要加强。服务内容数量基本达标,服务质量有待提升。服务人口公平性高,区域公平亟待拟合。

Objective To evaluate the work performance of community health service centers in Shenzhen City so as to provide an basis and reference fro promotion of community health services. Methods A spatial - temporal performance measurement framework, which consisted of import, export and result, was established based on the framework and indexes of per-formanee evaluation. The subject residents were randomly recruited from 60 community health service centers （ 10% of the total centers） in Shenzhen City, 100 from each center. And the totally - chosen 6 000 residents were surveyed about their satisfaction towards the work performance of the centers each year from 2008 to 2011. Results The index data in each year were statistically counted according t the measurement indexes. Some specific indexes in manpower resource in Shenzhen fell to meet the state standard in China. The per capita outplay of basic public health service had been RMB 40 yuan since 2010. A hospital - run and hospital - manged system had been maintained and its assistant policy system and management system had been improved contin- uesly. And a good collaborating mechanism was built up between hospitals and community health service centers. Conclusion The network layout of community health service centers has been finished in Shenzhen City, but the contingent of its professional- ization needs to be enhanced. The quantity of service content basically meets the national standard, but the quality of services needs to be improved. The equity for serving population is higher, but the equity among the different areas needs to be fitted ur- gently.