A study on the construction of evaluation indicator system of family doctor's contract service / 中国卫生政策研究

ABSTRACT

Objective:The objective of this study is to construct the evaluation indicator system of family doc-tors contracted service,to evaluate the main current family doctor contracted service in China from different aspects of health services. Methods:literature research method,field survey method and expert consultation method were used for the preliminary screening of the evaluation indicator; after consultation with Delphi experts to conduct a primary health care service management,using statistical analysis was used to build a family doctor evaluation indicator sys-tem. Results:The results show that the evaluation indicator system of family doctors contracted service was deter-mined,and consists of three first-level indicators,which were respectively preparatory,procedural and outcome eval-uation indicators;eight secondary indicators,which mainly include human resources input,basic medical treatment, basic public health,service efficiency and satisfaction and so on;and thirty-nine tertiary indicators,such as the num-ber of doctors per 10,000 population,the rate of first diagnosis,the rate of medical malpractice and the incidence of medical disputes of contracted residents,etc. Conclusions:The indicator system constructed in this study is sensitive and feasible,and it can comprehensively evaluate the work of family doctor contract,and provides a reference for the management,assessment and evaluation of family doctor contract service.