社区卫生服务机构内个人绩效评估研究

华中科技大学硕士学位论文社区卫生服务机构内个人绩效评估研究姓名：龚勋申请学位级别：硕士专业：社会医学与卫生事业管理指导教师：姚岚20080501_____11.2.Delphi3.Delphi4.EpidataSPSS13.021.2.3.Delphi3494.7α0.7342VC0.73681.2.3.4.3StudyonPersonalPerformanceAppraiseintheCommunityHealthServiceOrganizationGraduate:GongXunTutor:Prof.YaoLanABSTRACTObjective:ThisthesisisbasedontheresearchresultfromNational15thtacklingkeyproblems“StudyonCHSMode”whichwaspresidedbyprofessorYaoandStudyonPerformanceAppraiseandRewardDistributionpresidedbyprofessorZhang,ithasabsorbedthepartialresultsofthestudyonPerformanceAppraiseSystemofCHSInstitutionofH8/S8andChina/UKUrbanHealthandPovertyProject(UHPP).TheobjectsofthisthesisistoestablishapersonalperformanceappraisesysteminCHSinstitutionbydefiningtheperformanceappraisedimensionalityofeachkindsofstuffinCHSinstitutionandconfirmingtheweightsofeachtarget,itcouldbeareferencesofestablishingapersonalperformanceappraisesysteminCHSinstitutionforthemanagementofpersonalperformanceappraiseandrelativeresearchdepartment,andbeagistforperformingthereformationofrewarddistributionandsystemofpostwageandperformancewageunderthebackgroundofreforminginbothrevenuesandexpenditures,drugzeroVariancerate,two-wayreferralsystemandnationalbasichealthcaresystem.Methods:1.Documentstudy.Consultdomesticandforeignliteratureabouttheperformancetheory,performanceassessment,healthsystemperformanceassessment,hospitalperformanceassessmentandtownshiphealthinstitutionsassessmentandsoon.2.Delphimethod.TodeterminetheperformanceindicatorsofCHSconsulttheexpertsbyDelphiinquiry.3.Spotinvestigation.TocollecttheperformanceappraiseprojectofCHSinstitutionin4Shanghai,Hangzhou,Chengdu,Wuhan.,anddoingquestionnaireinvestigationandinterviewonthestuffsofCHSinstitutionandlocalinhabitantofthoseplace,thendoingavalidatefortheperformanceappraisesystemandit’sweightswhichareresultfromDelphi.4.Statisticsmethod.EstablishmentdatabaseandcomputethevalueofstandardizedindicatorsandperformanceindexbyMicrosoftOfficeExcel2003.DescriptiveStatistics,Nonparametrictest,Reliabilityanalysis,CorrelationanalysisareappliedbySPSS11.5.Results:1.ThisthesishasdefinedthefunctionandcontentofthetaskinCHSinstitution,thepersonalperformanceappraisemustbeapostperformanceappraisewhichischangedbydifferenttasks.ThestuffsinCHSinstitutioncouldseparateinClinicians(Generalpractitioners),nurses,publichealthstaff,medicaltechnologystaffandmanagers.2.Personalperformanceappraisesdimensionalityincludequantityofservices,qualityofservicesandsatisfactiongrade.Itcouldbeathree-dimensionalsolidconfigurationifweregardthosethreeperformancesappraisesdimensionalityascoordinateaxis.Performanceappraisedimensionality,measuringandtarget,themethodsandtoolsofperformanceappraise,themainbodyandobjectthecircumstanceofperformanceappraiseconstitutestheperformanceappraisesystem.3.ThetargetsofperformanceappraisehavefollowedtheprincipleofScientific,practicalandfeasible,choosing3first-degreetargetsofpersonalperformanceappraiseofCHSinstitutionbyDelphiandconfirm49second-degreetargetsaccordingtothedifferentpost.4.Theresultsformthe7centralcityzoneinvestigationshowthatthepersonalperformanceappraiseinCHShavewellvalidityandreliabilityandcanreflecttheperformanceofthestuffsinCHSeffectively(Cronbachα=0.7342;VC=0.7368).Conclusion:1.AnorientedperformanceappraisesystemcouldperfectingthefunctionsofCHS,improvingtheefficiencyandqualityoftheservice.2.Anorientedperformanceappraiseprojectcouldguidetherewarddistributionproject,improvethepositivityofprovidingpublichealthserviceofCHSinstitution,keeptheenergyandefficiencyofCHSinstitution,advanceabalanceddevelopmentofpublichealthandbasicmedicine.53.ThepersonalperformanceappraisessystemofCHSinstitutionofthisresearchhaswellvalidityandreliability,andcanreflecttheperformanceofthestuffsinCHSeffectively.4.Ithastodoafurtherresearchandbeperfectedfortheperformanceappraisessystemwiththeunceasingestablishmentandperfectingofthebasichealthservicesystem.BothofthewaytomaterializethecommonwealofCHSinperformanceappraisesystem,thewaytocontacttheresultsofperformanceappraiseandrewarddistributionneedafurtherresearch.Keywords:CommunityHealthService(CHS);PersonalPerformanceMeasurement;Appraise612090200610231111200047,,??MedlineProquestElsevierScienceSDOSgoogle8Delphi22.12.22.2.1MedlineProquestElsevierScienceSDOSgoogle92.2.2(),[1]10+3DelphiDelphi1111.1MedlineProquestElsevierScienceSDOSgoogle1.23Delphi1.342006-200771.45481.5126-722.1MedlineProquestElsevierScienceSDOSgoogle2.2DelphiDelphi[2]3491-2,Delphi,[3-5]1312111112222233344455566677789101112121111222223345671232.2.1422047.62%1330.95%921.43%3143921.43%1126.19%1330.95%921.43%42100.00%2472.731069.05%30.95%44%%%()42.3763.1636.8439.4726.3234.2123.6860.5315.7943.2163.6436.3639.427.2733.3324.2466.679.092.2.2Delphi90.4886.843489.47%55423890.48383386.842.2.315[6]0.30.250.20.15200.2515-190.2010-140.15100.050.250.200.150.100.20.150.100.051,1.00.750.500.250.0[7-8]01.066Delphi0.8250.7830.8040.8470.7990.83260.90.8040.8322.2.415774.284.214.084.114.314.834.744.634.724.552.2.51..:,1996:250-270.16,[9-11]WW=12dj2/m2(n3-n)X2R=12dj2/[mn(n+1)]:W-n-m-dj-j[12]