以服务效果为导向的基本公共卫生绩效评价指标体系的构建

Development of an outcome-oriented performance evaluation system for basic public health service

目的构建以居民健康结果和服务效果为导向的基本公共卫生服务绩效评价体系,为提升基本公共卫生服务质量提供依据。方法以2022年《国家基本公共卫生服务项目绩效评价》为基础,通过文献分析,初步构建指标体系,运用德尔菲法于2022年3月至2022年4月进行2轮专家咨询,对指标进行筛选,确定最终指标体系。结果共20名专家参与咨询。专家对各项二级指标的权威系数均在0.7以上,两轮专家积极程度分别为90.91%和100%,指标总体Cronbach’sα为0.986,形成了以“服务效果”为一级指标,“健康档案应用效果”等5项二级指标及“健康档案更新率”等16项三级指标构成的绩效评价指标体系。结论本研究采用德尔菲法建立了以服务效果为导向的基本公共卫生服务绩效评价指标体系,专家积极程度与权威程度都较高,意见协调性较好,指标体系科学合理,可用于客观评价基本公共卫生服务效果。

Objective To develop a performance evaluation system oriented by service effects and health outcomes for basic public health services and to provide a scientific basis for improving the quality of essential public health services.Methods Based on the“Performance Evaluation of National basic Public Health Service Projects”of 2022,through literature analysis,an index system was initially constructed,and two rounds of expert consultations were conducted from March to April 2022 via the Delphi method to screen indicators to establish the final indicator system.Results A total of 20 experts participated in two rounds of consultations,and the response rates of the two rounds were 90.91%and 100%,respectively.The Cronbach′s was 0.986.This performance evaluation index system of service effect consisting of 1 primary indicator(“Service effect”),five secondary indicators(“Health file application effect”,“Health education effect”,“Vaccination effect”,“Health condition of the key population”,and“Satisfaction”)and 16 tertiary indicators,was finally established.Conclusion This study has developed a service effect-oriented performance evaluation index system for basic public health services with a high response rate.The experts providing opinions have a high authority in the field and were actively participating in the process,and their suggestions were well coordinated.This index system is scientific and reasonable to evaluate the performance of basic public health services.