社区责任医生团队年度公共卫生工作目标量化考核方法研究

摘要

Objective To design the quantitative assessment methods of annual public health work objectives for community responsibility doctor team, and investigate the impact of the methods on completion of the annual public health objectives. Methods The work of annual evaluation and award was conducted based on the weighting coefficient formulated according to completion condition of various indicators of public health work signed in the target responsibility document by the community responsibility doctor team, in combination with the degree of work priority. Results Since the implementation of quantitative assessment on annual public health work objectives of community responsibility doctor team, in the community health service center 69 864 new residential health records were built. The person - times of follow - up for patients with hypertension, diabetes melli-tus, cancer, and severe mental disorders increased respectively from 29 589, 5 409, 270, and 568 in 2008 to 70 652, 11 610,1 872 and 2 636 in 2011. The built rate of health records increased from 43. 87% of 2008 to 89. 76% of 2009. The standardized management rates for patients with hypertension, diabetes mellitus, cancer, and severe mental disorders increased respectively from 78. 24% , 83. 26% , 32. 12% and 20. 53% in 2008 to 93. 52% , 97. 25% , 77. 84% and 89. 78% in 2011. And resident satisfaction rates were respectively 80. 37% , 86. 25% , 92. 13% and 95. 56% in 2008 -2011. Conclusion The implementation of quantitative assessment on annual public health work objectives of community responsibility doctor team can improve the completion of objective tasks and raise the public health service quality and resident satisfaction.%目的 设计社区责任医生团队年度公共卫生工作目标量化考核方法,研究该方法对年度公共卫生目标任务完成情况的影响.方法 根据社区责任医生团队目标责任书签订的各项公共卫生工作指标完成情况,结合工作优先程度制定权重系数按年度进行考核奖励.结果 实行社区责任医生团队年度公共卫生工作目标量化考核以来,中心新建居民健康档案69 864份,高血压、糖尿病、肿瘤、重性精神病患者访视分别从2008年的29 589人次、5 409人次、270人次、568人次提升到2011年的70 652人次、11 610人次、1 872人次、2 636人次;健康档案建档率从2008年的43.87%提升到2011年的89.76%,高血压、糖尿病、肿瘤、重性精神病患者的规范管理率分别从2008年的78.24%、83.26%、32.12%、20.53%提升到2011年的93.52%、97.25%、77.84%、89.78%;2008-2011年居民满意率分别为80.37%、86.25%、92.13%、95.56%.结论 实行社区责任医生团队年度公共卫生工作目标量化考核能改善目标任务完成情况,提高公共卫生服务质量与居民满意度.