Research On Performance Evaluation Of Community Health Service

The development of community health service which improves China's medical security system and ensures the fairness and accessibility of public health service supply is an important measure. In recent years, community health service in the regions has developed rapidly, with remarkable results. Today, our country has set up 27308 community health service centers (stations). 29.5 million community health service medical staff, number of beds 101,448. Only take 2009 for example, national community health service centers provided treatment to 2.6 billion people and number of admissions 164.2 million; on average, the annual center visits 50,000 people and annual admissions 315 people; national community health service stations provided treatment to 1.2 billion people and the annual station visits per 5259 people. Community health service has become a useful tool to alleviate the phenomenon"it is difficult and expensive for people to see a doctor."Because of community health service playing an important role in perfecting medical security system, so we need to give comprehensive evaluation of the carrying case of each community health service institutions, finding work process problems and deficiencies and making deep analysis of problem causes and summarizing the experience. Therefore, this study focuses on the performance evaluation of community health service and divided into five parts:The first part expounds the main purpose of this study. This study establishes a set of practical and feasible community health service performance evaluation index system on the basis of the experts and scholars at home and abroad and through the investigation of each community health service institution of Shenyang Helping District.The second part describes the basic theory of the performance evaluation of community health service. Master the performance evaluation of community health services related to the basic theory is the establishment of community health service performance evaluation index system. Through the definition of the related concept, making a comprehensive understanding of the status quo at home and abroad, explicating the contents, principle and standards will provide theoretical guidance for the establishment of community health service performance evaluation system.The third part establishes community health service performance evaluation index system. This part is the core content of this study. Through the comprehensive use of literature review, field investigations and other methods, this study initially puts forward the optional index of the community health service performance evaluation index system. On this basis, this study carries out two rounds of screening optional index by Delphi expert consultation method and determining the index weight, eventually to build a performance evaluation index system.The fourth part is the establishment of community health service performance evaluation system based on empirical research. This study makes the development situation of Shenyang Helping District community health service as the research object. According to the selected indicators, this study collects relevant data of the 2010 work situation of nine Helping District community health service center. After the inspection to the reliability and validity of the index system, through data envelopment analysis (DEA), this study carries out a comprehensive evaluation of the development situation of nine community health service center and analyzes the results. Poor community health service center will be given opinions and suggestions to improve work.The fifth is proposed to improve the performance of community health service. The countermeasures of the development of community health service: first, we must further strengthen the performance management of community health service; second, the government should give rigid assurance to the investment of community health service; the third is to establish and improve the financing and compensation mechanism of community health service; the fourth is to perfect community health service function and effectively improve the community health service quality; the fifth is to continue to strengthen talent introduction and training of community health service; the sixth is to actively promote the community health service mechanism system innovation.