2019年中国社区卫生服务中心科研能力评价及展望

Evaluation and Prospect of Scientific Research Capacity of Community Health Service Centers in China(2019)

背景目前,我国社区卫生服务与全科医学发展已进入到快速发展与问题瓶颈并存的特殊时期,科研对于社区卫生服务中心的影响愈加被重视,但现有的科研能力评价实证研究缺乏科学性与系统性,本研究就近年社区卫生服务中心科研能力的变化、现实需求及政策导向进行深入探讨。目的构建2019年社区卫生服务中心科研能力评价结果,以反映近年来我国社区卫生服务中心科研能力的变化与现状。方法2018年12月—2019年3月,利用中文及英文数据库平台,以“社区”“社康中心”等社区卫生服务中心关键词,应用数据挖掘和数据清洗的方式提炼社区科研结果要素,筛选出初始社区评价样本名单,通过部分卫生健康委员会和部分基层卫生协会或机构,结合自愿参与的原则,发放问卷673份,回收有效问卷500份,确定最终参评样本社区500家。利用层次分析法构建评价体系,从科研投入、科研产出、科研管理和科研效率4个方面,得出我国社区卫生服务中心科研能力评价结果。结果2019年社区卫生服务中心科研能力评价结果前100名的社区卫生服务中心,七成以上分布在江浙沪地区。人均科研经费与论文发表数量较之去年有了大幅提升。结论 社区卫生服务中心科研能力评价结果的出台起到了正面的导向作用,但地区差距巨大,各地区经济水平是其影响因素。本次使用的评价体系具有较高的理论和实践意义。

Background At present,the development of community health service and general practice in China has entered a special period in which rapid development coexists with bottlenecks.The impact of scientific research on community health service centers has been paid more attention.However,the existing empirical research on scientific research capacity evaluation lacks scientific and systematic studies.This study focused on the change of research capacity,realistic demand and policy orientation.Objective To construct a ranking of scientific research capacity of community health service centers in 2019 to reflect their changes and current situation in China in recent years.Methods From December 2018 to March 2019,we searched both Chinese and English database platforms,using keywords related to community health centers such as“community”“community health center”and so on.On the basis of outcome variables quantifying the impact of the articles,data mining and data cleaning,we developed the indicators measuring research findings of these community health centers,and by which we screened the initial sample for the 2019 evaluation.Then,we contacted some regional health commissions and primary care associations or institutions to conduct a questionnaire survey among 673 community health centers in the initial sample who volunteered,and 500 of them returning responsive questionnaires were determined as the final sample.Analytic hierarchy process was used to construct the evaluation system,from four aspects of scientific research input,scientific research output,scientific research management and scientific research efficiency,so as to obtain the ranking of scientific research capacity of community health service centers in China.Results In 2019,more than 70%of the top 100 community health service centers in the ranking of scientific research capacity were located in Jiangsu,Zhejiang and Shanghai.Per capita research funding and the number of papers published have increased significantly compared with those in last year.The three most progressive community health service centers were located in Shanghai.Conclusion The ranking of scientific research capacity of community health service centers has played a positive role in guidance,but there is a huge gap between regions.The evaluation system used in this study has a high theoretical and practical significance.