ABSTRACT
Objective To explore and establish the performance evaluation system for telemedicine in China.Methods By the method of literature and brainstorming,building evaluation model and the initial indicators,using Delphi method and Analytic Hierarchy Process to determine the index and its weight.Results Based on the PATH model,a telemedicine performance evaluation framework was established with five primary indicators,11 secondary indicators and 32 tertiary indicators.And the five primary indicators include patient-centered,medical effective and efficiency,staff-oriented,safety and response management.Conclusion The PATH model is suitable for the establishment of telemedicine performance evaluation framework.The patient-centered indicator has the highest weight,and the cost of telemedicine services should be controlled,and the patient satisfaction should be improved from all angles.
ABSTRACT
Objective To investigate the knowledge and opinions of the staff in community health service centers.Methods Staff in Ganjiang,Jiefang and Nanwai community health service centers of Zhanggong District,Ganzhou City,Jiangxi Province were interviewed with questionnaire based on meeting by chance by trained interviewers about their opinions on 10 aspects of community health services.The data were evaluated by score method and factors influencing the score were studied with logistic regression analysis.Results Generally,the staff's evaluation for community health services was high,satisfying with colleagues' cooperation,professional training and service capacities in 95.96% ,90.91% and 88.88% of them,respectively.But their satisfaction with personal income and staff' s income was poor(24.24% and 43.43%).Staff for logistics were not so satisfied with their personal income.Staff for logistics and senior staff were not so active in their professional training.Conclusions The staff in community health service centers could better understand community health services with satisfaction.Incentive mechanism for the staff in community health services should be introduced with optimized management system to increase staff's income and sustain its stable development.