杭州市社区卫生服务中心综合评价指标体系分析

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1、浙江大学硕上学位论文hopedthattheevaluationsystemmightmoreobjectivelyreflecttheprogress，theeffectivenessandefficiency,aswellastheweaknessofcommunityhealthservicecentersinHangzhoumunicipality0bjectivesTodevelopacomprehensiveevaluationsystemforthecommunityhealthservicecentersinHangzhouMunicipalitybase

2、dontheofficialguidelineandlocalconditions，whichwouldprovidedatabaseforgovernmentinhealthdecisionmaking．Methods1．AseriesofindexeswasselectedwiththeDelphimethodtoobtaintheevaluationindicatorsandtheirweights2．FifteencommunityhealthservicecentersinHangzhuouwereselectedaspilotevaluationsitesth

3、roughconvenientsamplingmethodThesamplingcenterswereevaluatedaccordingtoresultsfromtheDelphimethodwiththeanalytichierarchyprocessafterstandardizingthedata3．Statistics：t-test，chi-squaretest，correlationanalysis，ranksumtestwereusedfordataanalysiswithsoitwareSPSS10．0．Resuits1．AccordingtotheDel

4、phi，twenty-fourindicatorswereselectedfor浙江大学硕士学位论文evaluationsystemincluding‘‘policysupport'’，‘‘networkbuilding”，‘‘humanresources”，“serviceperformance”2．Theevaluationwasconductedusingthedevelopedevaluationsystemin15selectedcommunityhealthservicecentersofHangzhou3．Resultsobtainedwiththeeval

5、uationsystemhadsignificantpositivecorrelationwiththatofHangzhouHealthBureaurr20．711，p=0．003)Conelusions1．Theevaluationsystemdevelopedinthisstudyshows“SixinOne’functionofthecommunityhealthservicethatcanprovidepolicyorientedeffectspositively2．Theresultsusingthisevaluationsystemshowedahighco

6、nsistencyrate(87．5％、withthosefromHangzhouHealthBureau，whichindicatesthatthissystemisapracticalandreliableoneSuggestionsTheevaluationforpreventionactivities，communityrehabilitationandmanagementofhealthinformationshouldbeemphasizedinthefutureimprovementoftheevaluationsystemKevWordsCommunity

7、HealthService；evaluation；indicator；Delphi塑堡查兰堡主堂竺笙兰—1L—jL‘甘U青浙江大学硕士学位论文社区卫生服务评价作为一种重要的过程控制手段，对社区卫生服务工作的导向和改进具有重要意义。因此对社区卫生服务的评价研究引起国内外卫生管理研究者的广泛关注和高度重视。本部分侧重于文献研究和社区卫生服务现状的分析。(一)国外研究现状1、评价及卫生服务评价发展的简要历程(1)卫生服务评价的早期研究“评价”作为管理过程的控制手段，早于1918年就被运用到卫生服务管理中。美国Codman通过对一家私