社区卫生服务中心科研能力综合评价体系的构建及可行性验证

摘要

目的 当前社区卫生服务中心科研能力建设仍处于初级阶段,缺乏有效的评价体系,本研究为系统评价社区卫生服务中心科研能力,构建综合评价体系提供参考.方法 2015年3—12月,采取文献荟萃分析和专家咨询相结合的方法确定社区卫生服务中心科研能力综合评价指标体系,应用层次分析法确定权重.收集同济大学附属杨浦医院下属的11家社区卫生服务中心相关数据,验证评价体系的可行性.结果 本研究构建了社区卫生服务中心科研能力综合评价体系,包含科研投入、科研产出、科研管理3个维度,23个三级指标,权重的一致性指数<0.10.通过对11家社区卫生服务中心实证的灵敏度和实践检验,其中8家主客观排名相差两名以内.结论 本研究构建的社区卫生服务中心科研能力综合评价体系在灵敏度和有效性上具有较高的实践可行性,但仍需在具体数据收集和大规模计算过程中注意质量控制及动态反馈,以便为提升社区科研能力提供导向.%Objective The development of scientific research performance in China's community health center(s CHCs) is in the initial phase.Moreover,there is lack of corresponding effective assessment systems.We aimed to develop a comprehensive scientific research performance assessment system for domestic CHCs,providing a reference for relative studies and assessments. Methods This study was conducted from March to December 2015.We determined the indicators in the comprehensive scientific research performance assessment system for CHCs based on systematic review of relative studies and Delphi expert consultation, and determined their weights by using analytic hierarchy process.Then,the validation of the assessment system was performed in 11 CHCs of Yangpu Hospital of Tongji University.Results Our assessment system consisted of 3 dimensions(scientific research input,scientific research output and scientific research management) and 23 indictors.The weighted consensus index for the indicators was less than 0.10.The validation and sensitivity analysis of the assessment system showed that,the ranking of 8 CHCs by the experts' objective assessment and by our study group using the assessment system(subjective ranking) differed less than 2.Conclusion The sensitivity and effectiveness of this assessment system proved its good feasibility.However,quality control and dynamic feedback are needed during large-scale data collection and analysis,so as to better support the development of scientific research performance in CHCs.