农村公共卫生绩效评价框架研究

Research on performance evaluation framework of public health in rural areas

【摘要】目的建立农村公共卫生绩效评价框架，为改善我国农村区域公共卫生绩效提供参考依据。方法通过文献研究、理论推导和Delphi法，构建农村公共卫生绩效评价框架，并通过Kendall协调系数W检验、卡方检验，对专家咨询结果进行相应的检验分析。结果构建的农村公共卫生绩效评价框架包含4个概念模块、10个绩效目标和28个绩效评价指标；专家积极系数为0．889，4个概念模块的专家权威程度均值在0．681~0．715之间，指标必要性、敏感性和可操作性的KendallW一致性系数分别为0．167，0．209和0．185，P值均d0．01。结论构建的农村公共卫生绩效评价框架具有一定的应用价值。开展农村公共卫生绩效评价要注重科学性和适用性。

Objective To provide reference for improving the performance of public health by establishing performance evaluation framework of public health in rural areas of China. Methods The performance evaluation framework of public health in rural areas is established by literature research, theoretical derivation and Delphi method. The results of expert consultation are tested by W test of Kendall coordination coefficient and chi-square test. Results The performance evaluation framework of public health in rural areas contains four conceptual modules, ten performance goals and twenty-eight performance evaluation indexes. The positive coefficient of experts is 0. 889. The average values of authoritative grade of experts are between 0. 681~0. 715. The Kendall W uniformity coefficients of the necessity, sensitivity and maneuverability of the indexes are respectively 0. 167, 0. 209 and 0. 185. The P values are less than 0. 01. Conclusion The performance evaluation framework of public health in rural areas has certain application value. It is necessary to pay attention to scientific nature and applicability in developing performance evaluation of public health in rural areas.