Chinese General Practice ›› 2016, Vol. 19 ›› Issue (25): 3020-3023.DOI: 10.3969/j.issn.1007-9572.2016.25.005

Special Issue: 全科医学激励机制最新文章合集

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Literature Analysis of Performance Appraisal of Basic Medical Institutions in China

  

  • Published:2016-09-02 Online:2016-09-02

 我国基层医疗卫生机构绩效考核研究的文献分析

  

  1. 400016 重庆市，重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心

  • 通讯作者: 蒲川，400016 重庆市，重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心；E-mail：puchuan68@sina.com
  • 基金资助:

    重庆市利用世行贷款统筹城乡发展与改革卫生项目（CHSR2）——基层医疗卫生机构绩效考核评价实证研究

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Abstract:

 Objective  To understand the research status of performance appraisal of basic medical institutions in China,and to provide references for establishing perfect performance appraisal system of basic medical institutions.
 Methods  Related literatures of performance appraisal of basic medical institutions(including community health service center/station,health clinics in towns and townships and village clinics) were included through the searching of Chinese National Knowledge Infrastructure.Literature information extraction table was made by the author to collect basic characteristics of literatures,including research time,research sources,research objects,research categories,research areas and research funds sources.On the basis of further literature screening,related contents of performance appraisal including index types,methods of establishing appraisal system,appraisal cycle,appraisal modes and dimensions were collected.Descriptive analysis was made through applying SPSS 19.0 statistical software.
 Results  According to the literature search strategies,518 literatures were obtained,and finally 92 were included in accordance with inclusion and exclusion criteria.Studies on performance appraisal of basic medical institutions in China started in 2006,54(58.7%) literatures were included from 2012 to 2014;the number of literatures with research source of scientific research institutions and community health service center/station was 28(30.4%) and 19(20.7%) respectively;while the number of literatures with research objects of health clinics in towns and townships and community health service center/station was 42(45.6%) and 39(42.4%);the number of literatures with research categories of current status analysis and index system construction were both 23(25.0%);the number of literatures with research areas of eastern region and western region was 50(54.3%) and 18(19.6%) respectively;27(29.4%) had funding supports.21 were retrieved by further screening,of which 15(71.4%) literatures′ type of performance appraisal index was mainly based on service quantity and service proportion;considering methods of establishing evaluation system,13(61.9%) adopted Delphi method and 11(52.4%) used literature analysis method;in terms of appraisal cycle of institutions,half-year and annual cycle literature numbers were both 3(14.3%);12(57.1%) applied the appraisal manner of superior examination and self-inspection;and 8(38.1%) literatures took appraisal dimension of functions.
 Conclusion  Basic medical institutions in China starts relatively late on studies of performance appraisal,and presents the following shortages:lack of the participation of township health institutions and health administration institutions,relatively less usage of quantitative methods,relatively single appraisal modes and dimensions,and lack of long period appraisal.The exploration of performance distribution and influence factors needs to be strengthened.

Key words:

font-family: 宋体, mso-spacerun: 'yes', mso-font-kerning: 1.0000pt">Basic medical institutions;Performance appraisal;Literature analysis

摘要：

目的  了解我国基层医疗卫生机构绩效考核研究现状，为建立完善的基层医疗卫生机构绩效考核体系提供借鉴。 方法  利用中国知网进行检索，纳入与基层医疗卫生机构（包括社区卫生服务中心/站、乡镇卫生院、村卫生室）绩效考核相关的文献。自制文献信息提取表，收集文献的基本特征，包括研究时间、研究来源、研究对象、研究类别、研究所在地、研究基金来源。在进一步筛选文献的基础上，收集文献绩效考核的相关内容，包括指标类型、建立评估体系的方法、考核周期、考核方式、考核维度。采用SPSS 19.0统计软件进行描述性分析。 结果  根据检索策略共获得文献518条，按照纳入与排除标准，最终纳入文献92条。从纳入的92条文献来看，我国基层医疗卫生机构绩效考核的研究起步于2006年，2012—2014年纳入文献54条（58.7%）；研究来源为科研机构、社区卫生服务中心/站的文献分别为28条（30.4%）、19条（20.7%）；研究对象为乡镇卫生院、社区卫生服务中心/站的文献分别为42条（45.6%）、39条（42.4%）；研究类别为现状分析、指标体系构建的文献均为23条（25.0%）；研究所在地为东、西部地区的文献分别为50条（54.3%）、18条（19.6%）；27条（29.4%）有基金支撑。进一步筛选纳入21条文献，其中绩效考核指标类型为以服务量、比例为主的文献共15条（71.4%）；建立评估体系的方法采用德尔菲法、文献分析法的文献分别为13条（61.9%）、11条（52.4%）；考核周期为半年、年度的文献均为3条（14.3%）；考核方式为上级考核+自查的文献为12条（57.1%）；考核维度为职能开展维度的文献为8条（38.1%）。 结论  我国基层医疗卫生机构绩效考核研究起步较晚，缺乏乡镇卫生机构、卫生行政机构人员的参与，定量方法运用较少，考核方式与考核维度较单一，缺乏较长周期的考核，对绩效分配及影响因素的探索有待加强。

关键词:

font-family: 宋体, mso-spacerun: 'yes', mso-font-kerning: 1.0000pt">基层医疗卫生机构, 绩效考核, 文献分析

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