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中文摘要: 摘 要：目的：构建上海市普陀区长征镇社区卫生服务中心家庭医生考核指标体系，评估该体系在不同时间段的实施成 效，为持续完善家庭医生管理体系提供依据。方法：参考国家“优质服务基层行”、上海市社区卫生综合评价以及普陀区社 区卫生服务中心绩效考核的重点指标，运用目标管理法和小组讨论法初步构建家庭医生考核指标体系，并引入德尔菲法对指 标进行筛选和确定赋分权重。2023—2024年按照构建的指标体系对33名家庭医生进行月度和年度考核，对考核结果进行 分析。结果：2023年建立家庭医生综合能力评价指标，包括月度考核指标和年度考核指标。2024年根据业务相关要求，对 基本医疗部分指标进行了微调，但该部分总分值不变。考核结果显示，33名家庭医生2023年初期(1月)、终期(12月)月 度评价总得分分别为(142.63±12.99)分、(167.12±6.98)分；2024年初期(1月)、终期(12月)月度评价总得分分别为 (160.7±8.84)分、(177.49±8.45)分。2024年基本医疗、家庭医生签约工作部分指标得分较2023年也有显著提高。结论： 构建家庭医生考核指标体系在一定程度上有效激励了家庭医生的内驱力，但也存在部分短板和不足之处。后续需逐步完善考 核体系，加大对家庭医生科研教学和个人能力培养的支持力度。
Abstract:Abstract: OBJECTIVE To explore the construction of a performance evaluation index system for family doctors at the Changzheng Town Community Health Service Center,to test the preliminary implementation effectiveness of this system,to improve the family doctor management system,thereby effectively motivating the intrinsic drive of family doctors,comprehensively enhancing their overall capabilities,and ultimately promoting the high-quality development of the community health service center.METHODS Refering to the key indicators ofthe National Quality Service Grassroots Campaign,the comprehensive evaluation of community health services in Shanghai,and the performance evaluation of community health service centers in Putuo District,the target management method and group discussion method were used to initiallyconstruct the family doctor performance evaluation index system.The Delphi method was introduced to screen and determine the scoring weights of theindicators.According to the constructed index system,monthly and annual evaluations were conducted for the center's family doctors,and evaluation data for 2023 and 2024 were collected informationally. The evaluation results were promptly fed back to the family doctors,and the effectiveness of the evaluation was deeply analyzed. RESULTS In 2023,a comprehensive ability evaluation index for family doctors was established,with specific content divided into monthly and annual evaluation indicators.In 2024,minor adjustments were made to certain indicators within the basic medical care category based on operational requirements,though the total score for this section remained unchanged.Evaluation results indicate that the monthly assessment totals for 33 family doctors in early 2023(January)and late 2023(December)were (142.63±12.99)points and(167.12±6.98)points,respectively.In 2024,the monthly evaluation total scores for the beginning (January)and end (December) periods were(160.77±8.84)points and(177.49±8.45)points,respectively.CONCLUSION The construction of the family doctor performance evaluation index system has effectively motivated the intrinsic drive of family doctors to a certain extent,but there are still some shortcomings and deficiencies.Subsequent efforts need to gradually improve the evaluation system,increase support for the research, teaching,and personal ability training of family doctors
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