Abstract:

 Objective  To establish performance appraisal indicator system of family doctors to help perfect work patterns and standardized services of family doctors.

 Methods  20 managers (directors,directors in charge of performance appraisal) were selected by purposive sampling method from all of the 10 community health service centers of Changning District as the first-round consultant experts;relevant managers of health and family planning commission,community health management center,public health institutions and community health service centers in Changning District and family doctors of community health service centers in Changning District were selected as the second-round consultant experts with a total number of 40.Performance appraisal indicator system of family doctors was established by Delphi method after two-round expert consultation.

 Results  20 questionnaires were sent out and 19 were recovered in the first-round expert consultation,the valid response rate was 95.0%;40 questionnaires were sent out and 39 were recovered in the second-round expert consultation,the valid response rate was 97.5%.Judgment coefficient of experts was 0.894,coefficient of familiarity degree was 0.905,and coefficient of degree of authority was 0.900.Cooperation index of experts in the first round was 0.21 (χ2=12.11,P＞0.05);and cooperation index of experts in the second round was 0.42 (χ2=49.76,P＜0.05).After two-round expert consultations,7 first-grade indicators were determined,they were informatization management of data,signing of contract,basic medical services,health management,signing of contract and medical services,satisfaction degree and medical expenses,17 secondary indicators and 29 third-grade indicators.

 Conclusion  The established performance appraisal indicator system of family doctors has certain authority and operability,better covers the key points of the work of family doctors,and can be used as tools of assessing services of family doctors,improving the provision mechanism of services,and perfecting connotation of services in recent period.

摘要：

 目的  构建长宁区家庭医生绩效考核指标体系，完善家庭医生工作模式，规范家庭医生服务。 方法  采用目的抽样法，选取长宁区区属全部10家社区卫生服务中心的管理者（主任、分管主任）共20人作为第一轮咨询专家；选取长宁区卫生和计划生育委员会、社区卫生管理中心、公共卫生专业机构、社区卫生服务中心的相关管理人员及长宁区社区卫生服务中心的家庭医生共40人作为第二轮咨询专家。采用德尔菲法，通过两轮专家咨询，构建家庭医生绩效考核指标体系。 结果  第一轮专家咨询共发出问卷20份，有效回收问卷19份，有效回收率为95.0%；第二轮专家咨询共发出问卷40份，有效回收问卷39份，有效回收率为97.5%。专家的判断依据系数为0.894，熟悉程度系数为0.905，权威程度系数为0.900。第一轮专家的协调系数为0.21（χ2=12.11，P＞0.05）；第二轮专家的协调系数为0.42（χ2=49.76，P＜0.05）。经过两轮专家咨询，确定一级指标7项，分别为资料信息化管理、签约、基本医疗服务、健康管理、签约与医疗服务、满意度、医疗费用，二级指标17项，三级指标29项。 结论  构建的家庭医生绩效考核指标体系具有一定权威性和可操作性，较好地涵盖了目前家庭医生工作的重点，可作为近阶段评估家庭医生服务、改进服务提供机制、完善服务内涵的工具。

关键词:

font-family: 宋体, mso-spacerun: 'yes', mso-font-kerning: 1.0000pt">家庭医生, 绩效考核, 德尔菲法