医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
14期
67-68,69
,共3页
陈志刚%陈碧华%赵立宇%瞿俊樯
陳誌剛%陳碧華%趙立宇%瞿俊檣
진지강%진벽화%조립우%구준장
家庭医生%社区卫生服务%德尔菲法
傢庭醫生%社區衛生服務%德爾菲法
가정의생%사구위생복무%덕이비법
family doctor%community health service%Delphi method
目的：建立一套符合当前以家庭医生为主的社区卫生服务管理评价指标体系。方法：采用目的抽样的方法选取上海市区域卫生局、社区卫生中心、复旦大学、疾病预防控制中心等从事家庭医生及医院管理工作10年以上、具有主治以上职称的专家20名作为函询对象,应用Delphi法对以家庭医生为主的社区卫生服务管理评价指标进行三轮函询。并对建立的指标体系进行效度和信度分析。结果：构建了以投入、服务功能和产出三大类指标为主要结构的具有层次性的指标体系：包括一级指标3个、二级指标7个、三级指标94个。指标体系中二级指标Cronbach's α系数值为0.942，三级指标Cronbach's α系数值为0.947。结论：评估指标的筛选方法合理；专家建议一致性高，协调程度比较理想；建立的指标体系覆盖面广，针对性强，效度和信度好。指标体系对以家庭医生责任制为主的社区卫生服务管理评价值得借鉴。
目的：建立一套符閤噹前以傢庭醫生為主的社區衛生服務管理評價指標體繫。方法：採用目的抽樣的方法選取上海市區域衛生跼、社區衛生中心、複旦大學、疾病預防控製中心等從事傢庭醫生及醫院管理工作10年以上、具有主治以上職稱的專傢20名作為函詢對象,應用Delphi法對以傢庭醫生為主的社區衛生服務管理評價指標進行三輪函詢。併對建立的指標體繫進行效度和信度分析。結果：構建瞭以投入、服務功能和產齣三大類指標為主要結構的具有層次性的指標體繫：包括一級指標3箇、二級指標7箇、三級指標94箇。指標體繫中二級指標Cronbach's α繫數值為0.942，三級指標Cronbach's α繫數值為0.947。結論：評估指標的篩選方法閤理；專傢建議一緻性高，協調程度比較理想；建立的指標體繫覆蓋麵廣，針對性彊，效度和信度好。指標體繫對以傢庭醫生責任製為主的社區衛生服務管理評價值得藉鑒。
목적：건립일투부합당전이가정의생위주적사구위생복무관리평개지표체계。방법：채용목적추양적방법선취상해시구역위생국、사구위생중심、복단대학、질병예방공제중심등종사가정의생급의원관리공작10년이상、구유주치이상직칭적전가20명작위함순대상,응용Delphi법대이가정의생위주적사구위생복무관리평개지표진행삼륜함순。병대건립적지표체계진행효도화신도분석。결과：구건료이투입、복무공능화산출삼대류지표위주요결구적구유층차성적지표체계：포괄일급지표3개、이급지표7개、삼급지표94개。지표체계중이급지표Cronbach's α계수치위0.942，삼급지표Cronbach's α계수치위0.947。결론：평고지표적사선방법합리；전가건의일치성고，협조정도비교이상；건립적지표체계복개면엄，침대성강，효도화신도호。지표체계대이가정의생책임제위주적사구위생복무관리평개치득차감。
Objective:To develop an indicator system for evaluation of family docor-based community health services administration.Methods: A sampling method was used to identify 20 experts with a professional title of associate chief physician or higher and more than 10 years’experience as family doctor or in hospital administration.These experts were affiliated to local Health Authorities of Shanghai,community healthcare centers,Fudan University,or Center for Disease Control and Prevention.Delphi method was used to conduct three-round survey via letter to solicit experts’opinion on the indicators for evaluation of family doctor-based community health services and administration.The established indicator system was assessed in terms of validity and reliability.Result: A hierarchical indicator system was established, including a total of 104 indicators in three levels (3 for input,7 for services and 94 for output).The Cronbach'sα was 0.942 for the second-level indicators,and 0.947 for the third-level indicators.Conclusion: The method used in screening indicators for evaluation is reasonable and appropriate. The comments and suggestions of experts are highly consistent and harmonized. The established indicator system shows wide and specific coverage with high validity and reliability.The indicator system is helpful for evaluation of the administration of family doctor-based community health services.
