基于德尔菲法的基层中医药服务评价体系研究

目的构建客观、科学的基层中医药服务评价体系,为评价基层医疗机构的中医药服务能力在分级诊疗制度中所起作用提供参考依据。方法通过文献分析法及实地调研法,初步拟定基层中医药服务评价体系咨询表,采用德尔菲法经2轮专家咨询调整各级指标,最终形成基层中医药服务评价体系。结果构建的基层中医药服务评价指标包括一级指标5项、二级指标35项,涵盖了基层中医药服务的主要环节:服务保障、服务设施、服务人员、服务能力、服务绩效,具有较高的可靠性和科学性。结论建立合理的基层中医药考核评价体系,对于基层中医药发展有着重要意义。本研究构建的基层中医药服务评价指标体系,能够对基层开展中医药服务进行综合考评,能从服务保障、服务设施、服务人员、服务能力和服务绩效等5个方面科学客观地反映基层中医药服务开展情况,具有较好的导向性。通过建立基层中医药服务评价指标,能够有针对性地促进基层中医药服务能力提升,充分调动基层医务人员开展中医药服务的积极性,更好地促进中医药服务在基层的推广,进而增强城乡居民对中医药服务的获得感。

Research on Grass-roots Chinese Medicine Service Evaluation System Based on Delphi Method

Objective To construct an objective and scientific evaluation system of traditional Chinese medicine(TCM)service at the grass-roots level,and provide a reference for evaluating the role of TCM service capacity of the grass-roots medical institutions in the hierarchical diagnosis and treatment system.Methods Through the literature analysis method and the field investigation method,a consultation table for the grass-roots TCM service evaluation system was preliminarily formulated.The Delphi method was used to adjust the indicators at all levels through two rounds of expert consultation,and finally the grass-roots TCM service evaluation system was formed.Results The constructed grass-roots TCM service evaluation indicators cover 5 first-level indicators and 35 second-level indicators.It covers the main links of grass-roots TCM services:service guarantee,service facilities,service personnel,service capacity and service performance,which are highly reliable and scientific.Conclusion It is of great significance for the development of grass-roots TCM to establish a reasonable assessment and evaluation system for grass-roots TCM.The evaluation system of grass-roots TCM service constructed in this study can comprehensively evaluate the development of TCM service at grass-roots level,which can reflect the development of TCM at the grass-roots level from five aspects,including service guarantee,service facilities,service personnel,service ability and service performance,which has a good guiding tendency.Through the establishment of evaluation index of grass-roots TCM service,it can promote the ability of grass-roots TCM service,fully mobilize the enthusiasm of grass-roots medical staff to carry out TCM service,better promote the promotion of TCM service at the grass-roots level,and then enhance the sense of acquisition of TCM service for urban and rural residents.