基于区域信息管理平台的上海市浦东新区社区卫生服务中心科教考核评价研究

Application Analysis of Science and Education Assessment in Community Health Service Centers Based on Regional Health Science and Education Information Management Platform

目的:通过对上海市浦东新区运用信息系统工具进行区域内社区卫生服务中心科教考核评价的探索研究,以期能够利用信息化平台的优势引导和激励各单位提高科教管理水平,为基层医疗卫生机构科教管理实践提供参考和借鉴。方法:利用信息化平台,搜集2019—2021年上海市浦东新区47家社区卫生服务中心的科教考核数据,按区域将社区卫生服务中心划分为4类,A类为偏远农村,B类为一般农村,C类为城郊结合部,D类为城区。按照年份、区域、人均分值3个维度进行比较分析。结果:2019—2021年浦东新区社区卫生服务中心科教评价总分比较,差异无统计学意义(P>0.05);但B类区域年份间得分比较,差异有统计学意义(χ2=6.500,P<0.05)。A类区域社区卫生服务中心不同年份间绩效人均分比较,差异有统计学意义(χ2=7.167,P<0.05)。2021年的管理质量控制人均分、绩效人均分区域间比较,差异均有统计学意义(χ2值分别为8.187、7.919,P<0.05)。结论:依托信息化科教考核系统有助于区域高效、连续开展社区卫生服务中心科教评价,而人均化科教考核分析更能体现公平性,同时需特别关注区域间科教发展的差异性。

OBJECTIVE To provide reference for the practice of science and education management at the grass-roots level by the assessment of science and education in community health service institutions.METHODS Data of scientific and educational assessment were collected from 47 Community Health Service Centers fropm 2019 to 2021 in Pudong New Area by using information platform.RESULTS There was no significant difference in the total scores of evaluation of science and education from 2019 to 2021(P>0.05),but in 2021 the scores of B-class community health service center were significantly lower than those of the other areas(χ2=6.500,P<0.05).There was significant difference in the average score of community health service center in A-class area between different years(χ2=7.167,P<0.05).The per capita quality control scores between different regions had difference in 2021(χ2=8.187,P<0.05),and the same difference was found in the per capita performance scores(χ2=7.919,P<0.05).CONCLUSION It is helpful to develop the evaluation of science and education in Community Health Service Center with high efficiency and continuity by information science and education assessment system,the analysis of the per capita scientific and educational assessment can better reflect the fairness,then the difference of regional development of science and education should be concerned.