Performance evaluation indicator system for the implementation of essential drug system in community health service institutions

Objective:This research aims to develop a more scientific and reasonable performance evaluation indicator system for the implementation of an essential drug system in community health service institutions.Methods:The Delphi method was used to establish an indicator system based on three rounds of expert consultations,and the fuzzy comprehensive evaluation method was used to determine the weights of the indicators.Results:The participation in the three rounds of consultations were 100%(10/10),90%(18/20),and 85%(17/20),which showed that the experts had real enthusiasm for participating in this research.The authority coefficients of the first-,second-,and third-level indicators were 0.75,0.76,and 0.76,respectively,which showed that the consultation results were dependable.The concordance coefficients of the second and third rounds were 0.489 and 0.487,respectively(P<0.001),indicating that the expert opinions were highly consistent.The performance evaluation indicator system consisted of three first-level indicators(supporting,implementation,and effect indicators),nine second-level indicators,and 21 third-level indicators.Conclusion:In this new performance evaluation indicator system,the selected experts were representative,the consultation results were dependable,the constructed evaluation indicator system was reasonable,and the setting of weights was scientific.

贵州省社区卫生服务机构配置状况和卫生服务质量、效率分析

目的了解贵州省社区卫生服务机构基础实施、卫生人力资源状况和卫生服务质量与效率,发现存在问题并提出建议。方法综合文献分析法和问卷调查法对贵州省社区卫生服务机构基础设施、卫生人力资源状况和卫生服务质量与效率进行分析。结果贵州省社区卫生服务机构为黔中、北部、西北部举办最多,黔东、西部次之,黔南、东南、西南部举办最少,平均每个社区卫生服务中心业务用房面积为665.03 m2、拥有卫生技术人员22.34人,医护比为1.86∶1,执业(助理)医师学历以大专为主,占41.23%、技术职称以初级为主,占53.64%,护士学历以中专为主,占64.93%,医师人均每日担负诊疗6.46人次、住院床日为1.19床日。结论贵州省社区卫生服务机构地区分布布局不合理,基础实施薄弱,卫生技术人员总量不足,学历、职称层次偏低,卫生服务质量与效率有待进一步提高。