Development of a Contracted Service Performance Evaluation System for Family Doctor Teams

doi:10.12114/j.issn.1007-9572.2018.00.386

Abstract

Abstract: Background　At present，the implementation of contracted family doctor services in China is an important measure for accelerating the development of the hierarchical medical system via strengthening the functions of primary care networks and promoting first consultation in primary care，by which the reform of the pharmaceutical and healthcare system can be deepened.However，there is a lack of scientific，reasonable and easy-to-use systems for the assessment of the contracted service performance of the family doctor team.Objective　To develop a contracted service performance evaluation system for family doctor teams，providing theoretical guidance for scientific evaluation of the contracted service performance of a family doctor team，and the building of a high-quality family doctor team.Methods　Delphi expert consultation method was used to establish the Contracted Service Performance Evaluation System for Family Doctor Teams（CSPESFDT）in August and September，2017．Analytic hierarchy process（AHP） was applied to determine the weight of the indicators of the CSPESFDT.Results　The response rates of the two rounds of expert consultation were 100.0%（21/21） and 90.5%（19/21），respectively.The mean coefficient of determination，familiarity coefficient and authority coefficient were 0.764 3，0.809 5，0.786 9 for the two rounds of consultation.The Kendall's W for the first and second consultations were 0.245（χ2=293.206，P<0.001），and 0.317（χ2=279.631，P<0.001），respectively.Finally，the CSPESFDT was developed，which consisted of 7 first-tier indicators，and 54 second-tier indicators with assigned weights.Conclusion　We successfully established the CSPESFDT using Delphi and AHP methods，which is contributive to the objective and scientific assessment of the contracted service performance of the family doctor team.

Key words: Contracted family doctors services, Delphi method, Analytic hierarchy process method, Indicator system

摘要： 背景　现阶段在我国实行家庭医生签约服务，强化基层医疗卫生服务网络功能，促进基层首诊、分级诊疗是深化医药卫生体制改革的重要任务，但缺乏科学、合理、方便操作的家庭医生团队签约服务能力评估指标体系。目的　构建一套家庭医生团队签约服务能力评估指标体系，为科学评价家庭医生团队签约能力、构建优质的家庭医生团队提供理论指导。方法　于2017年8~9月采用德尔菲法专家咨询构建家庭医生团队签约服务能力评估指标体系，利用层次分析法确定指标的权重。结果　两轮专家咨询回收率分别为100.0%（21/21）和90.5%（19/21），专家的判断系数为0.764 3，熟悉程度为0.809 5，权威系数为0.786 9。第1轮和第2轮肯德尔和谐系数（Kendall's W）分别为0.245（χ2=293.206，P<0.001）和0.317（χ2=279.631，P<0.001）。最终构建了含有7个一级指标、54个二级指标及其权重的家庭医生团队签约服务能力评估指标体系。结论　本研究基于德尔菲法和层次分析法初步构建了家庭医生团队签约服务能力评估指标体系，可为客观、科学地评估家庭医生团队签约服务能力提供参考依据。

关键词: 家庭医生签约服务, Delphi法, 层次分析法, 指标体系

SHANG Xiaopeng,YANG Qing,QIU Yinwei, et al. Development of a Contracted Service Performance Evaluation System for Family Doctor Teams　[J]. Chinese General Practice, 2019, 22(16): 1996-1999. DOI: 10.12114/j.issn.1007-9572.2018.00.386.
尚晓鹏,杨清,邱银伟等. 家庭医生团队签约服务能力评估指标体系构建[J]. 中国全科医学, 2019, 22(16): 1996-1999. DOI: 10.12114/j.issn.1007-9572.2018.00.386.

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