中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
1期
20-22
,共3页
高虹%金其林%周宝%杨国弘%朱茜%袁长婷%王颖丽%王智勇%孟虹
高虹%金其林%週寶%楊國弘%硃茜%袁長婷%王穎麗%王智勇%孟虹
고홍%금기림%주보%양국홍%주천%원장정%왕영려%왕지용%맹홍
社区卫生服务%医疗保险%评价体系%实证检验
社區衛生服務%醫療保險%評價體繫%實證檢驗
사구위생복무%의료보험%평개체계%실증검험
Community health services%Health insurance%Evaluation system%Positive test
目的 对上海市杨浦区卫生局研制的<城市社区卫生服务机构医疗保险工作考核指标体系>进行实证检验,为考核体系的应用推广提供依据.方法 运用原有考核体系和本考核体系对杨浦区8家社区卫生服务机构2007年1-10月的医保工作进行考核,将考核结果作为检验资料;随机选取其他城区的11家社区卫生服务机构,运用本考核体系对其2007年1-6月与2008年1-6月的医保工作进行考核,将考核结果作为实证检验资料,对考核结果进行两变量的相关分析和成对样本t检验.结果 原有考核体系结果与本考核体系结果的相关性有统计学意义(r=0.761,P=0.028);原有考核体系结果的均值为(92.81±4.36)分,本考核体系结果的均值为(77.19±12.74)分,两者比较差异有统计学意义(t=4.492,P=0.003).2007年1-6月考核结果的均值为(90.09±2.94)分,2008年1-6月考核结果的均值为(93.86±2.73)分,两者比较差异有统计学意义(t=-3.166,P=0.010).结论 本考核体系具有较强的科学性、实用性、可操作性和有效性,适合在医疗保险监管部门对社区卫生服务机构的管理中应用和推广.
目的 對上海市楊浦區衛生跼研製的<城市社區衛生服務機構醫療保險工作攷覈指標體繫>進行實證檢驗,為攷覈體繫的應用推廣提供依據.方法 運用原有攷覈體繫和本攷覈體繫對楊浦區8傢社區衛生服務機構2007年1-10月的醫保工作進行攷覈,將攷覈結果作為檢驗資料;隨機選取其他城區的11傢社區衛生服務機構,運用本攷覈體繫對其2007年1-6月與2008年1-6月的醫保工作進行攷覈,將攷覈結果作為實證檢驗資料,對攷覈結果進行兩變量的相關分析和成對樣本t檢驗.結果 原有攷覈體繫結果與本攷覈體繫結果的相關性有統計學意義(r=0.761,P=0.028);原有攷覈體繫結果的均值為(92.81±4.36)分,本攷覈體繫結果的均值為(77.19±12.74)分,兩者比較差異有統計學意義(t=4.492,P=0.003).2007年1-6月攷覈結果的均值為(90.09±2.94)分,2008年1-6月攷覈結果的均值為(93.86±2.73)分,兩者比較差異有統計學意義(t=-3.166,P=0.010).結論 本攷覈體繫具有較彊的科學性、實用性、可操作性和有效性,適閤在醫療保險鑑管部門對社區衛生服務機構的管理中應用和推廣.
목적 대상해시양포구위생국연제적<성시사구위생복무궤구의료보험공작고핵지표체계>진행실증검험,위고핵체계적응용추엄제공의거.방법 운용원유고핵체계화본고핵체계대양포구8가사구위생복무궤구2007년1-10월적의보공작진행고핵,장고핵결과작위검험자료;수궤선취기타성구적11가사구위생복무궤구,운용본고핵체계대기2007년1-6월여2008년1-6월적의보공작진행고핵,장고핵결과작위실증검험자료,대고핵결과진행량변량적상관분석화성대양본t검험.결과 원유고핵체계결과여본고핵체계결과적상관성유통계학의의(r=0.761,P=0.028);원유고핵체계결과적균치위(92.81±4.36)분,본고핵체계결과적균치위(77.19±12.74)분,량자비교차이유통계학의의(t=4.492,P=0.003).2007년1-6월고핵결과적균치위(90.09±2.94)분,2008년1-6월고핵결과적균치위(93.86±2.73)분,량자비교차이유통계학의의(t=-3.166,P=0.010).결론 본고핵체계구유교강적과학성、실용성、가조작성화유효성,괄합재의료보험감관부문대사구위생복무궤구적관리중응용화추엄.
Objective To test the "Urban Community Health Service Health Insurance Evaluation System" organized and formulated by Shanghai Yangpu District Health Bureau,in order to provide the basis for popularization of the evaluation system.Methods The medical insurance work of the 8 community health service (CHS) institutions in Yangpu district,from January to October 2007 was assessed by using the original and the new systems respectively.The assessed results were used as the test materials.Then 11 CHS institutions in other districs were at random selected,and their insurance work during the periods between January and June of both 2007 and 2008 was assessed,and the assessed results were taken as the positive test materials.Finally correlation analysis of the two variables was conducted for the assessed results,and t test for paired-samples was also conducted.Results The results of two evaluation systems were significantly correlated (r= 0.761,P=0.028).The average value of assessed result was (92.81±4.36)for original evaluation system and (77.19±12.74) for the new evaluation system,with a significant difference (t=4.492,P=0.003).The average value of assessed result was(90.09±2.94) for the period from January to June 2007 (93.86±2.73) for the period from January to June 2008 (t=-3.166,P=0.010).Conclusion This evaluation system has a strong scientificness,feasibility,operability and effectiveness,it will be suitable for medical insurance regulatory departments to apply and popularize in management of the community health service institutions.
