基于家庭医生制度的绩效评价指标和体系研究

The latest research on performance evaluation index and system based on family physician system

家庭医生制度在国外已经发展的很成熟,由于有很好的保障制度和有序的就医流程以及卓有成效的评价体系,已经在"健康守门人"和"经费守门人"方面为中国医改提供了有益的经验。中国目前也提出了家庭医生制度,上海市2012年全面实施该制度。虽然在功能、流程等方面有一定的界定,但是在最新的绩效评价指标体系方面尚不成熟。本文介绍了绩效评价的一般概念,重点在家庭医生制度下绩效评价指标构建方面进行描述:包括对社区卫生服务机构评价和对家庭医生本人评价。特别是在对社区居民反应性和信任度评价方面,笔者利用最新研究成果展现出信任度评价的几个方面。最后在对家庭功能评价中,笔者也就对家庭评价的两个方面进行了描述。

Because of its good security system and orderly medical process and evaluation system, the family doctor sys- tem in foreign countries has developed very mature. The system of ＂gatekeeper health＂ and ＂financial gatekeepers＂ have provided useful experience for the Chinese medical reform. China is also put forward the family doctor system, the full im- plementation of the system has taken in Shanghai city in 2012. Although the function and process and other aspects have carried out ,but the new performance evaluation system is not mature. This paper introduces the general concept of per- formance evaluation. Key performance indexes in the family doctor system evaluation were described：including evaluation of community health service institutions, evaluation of family doctor. Especially the evaluation of reactive and trust in the community residents, the latest research results show several aspects of evaluation of trust. Finally, in the evaluation of family function, the author also describe two aspects to the family function assessment.