我国省级防盲技术指导组绩效评估方法的研制

The study of establishment of the ＂Chinese provincial Blindness prevention technical guidance group performance evaluation system＂

目的 建立一套可用于合理、有效评价省级防盲技术指导组工作成效的评价指标和相应的评分方法.方法 以《全国防盲治盲规划（2012-2015年）》的具体内容为核心,结合世界卫生组织（WHO）《面向普遍的眼健康：全球行动计划（2014-2019）》的具体要求和目标,根据目前我国各省市自治区防盲治盲工作现状和发展趋势,作为制定《评估方法》中评估指标和评分体系的依据.确定绩效评估指标设置的原则是有效性、可行性、可比性、导向性和阶段性.通过文献回顾形成候选指标,定性研究形成绩效评估框架,Delphi法进一步修正和完善评价指标体系,实地验证可行性,最后再次定性分析,形成《省级防盲技术指导组绩效评估办法》.结果 通过文献回顾和定性研究,首先构建了6个维度的评价体系框架,通过Delphi法,最终确立包括6个一级指标,16个二级指标,29个三级指标的绩效评价指标体系.通过变异系数法确定了指标的权重系数,其中一级指标的权重系数分别是：组织与管理为0.15,制定和落实防盲规划为0.15,防盲工作实施为0.14,培训为0.17,健康教育为0.18,合作与交流为0.21.确定指标评价的具体方法为文件查阅、现场查看及工作记录查看和抽样调查.在吉林、贵州、甘肃三省开展实证研究,发现当地防盲专家自评得分指标结果与指标权重系数反映的情况一致.结论 本研究制定的《评估方法》是适宜于现阶段的,能够有效评价各省市自治区防盲技术指导组开展工作情况.

Objective To establish an assessment system,including indexes and scoring methods,that can be used for performance evaluation of the provincial blindness prevention technical guidance group properly and effectively.Methods The indexes and scoring methods were set based on the core content of The ＂National Plan of Prevention and Treatment of Blindness （2012-2015）＂,the specific requirement and target of the World Health Organization （WHO） ＂For the General Eye Health：Global plan of Action （2014-2019）＂,and the current situation of the China＆#39;s provinces and autonomous regions.These indexes should be of effectiveness,feasibility,comparability,guidance and advancing.Formed by a literature review of candidate indicators,the framework of the system is built by qualitative assessment.With the Delphi method,the system was further revised and improved.Empirical pilot study was then used to prove the feasibility,followed by the final qualitative analysis that establish the ＂Chinese provincial Blindness prevention technical guidance group performance evaluation system＂.Results Through the literature review and qualitative assessment,a six dimensional system framework was built,including 6 first-level indicators,16 second-level indicators,and 29 third-level indicators through Delphi method evaluation.With the variation coefficient method,the coeffiences of the first-level index weight were calculated as：Organization and management 0.15,Development and implementation of blindness prevention plans 0.15,Implementation of blindness prevention projects 0.14,Training 0.17,Health education 0.18,and Cooperation and exchanges 0.21.The specific scoring method for this system is confirmed as：data and files check,field interview,and record interview,sampling investigation.Empirical pilot study was conducted in the Jilin,Guizhou and Gansu provinces,and the self-assessment results from local experts were consistent with the scores from the systems.Conclusion This system established is appropriate at current time,and it can effectively evaluate the performance of the Chinese provincial Blindness prevention technical guidance group.