效果导向的基本公共卫生服务综合评价指标体系在深圳市回顾性评价中的应用及启示OA

Background In order to promote the change from process to result in the assessment and evaluation of National Essential Public Health Services,the group has theoretically constructed an"effect-oriented comprehensive evaluation index system of essential public health services",but the practical application of this index system is still insufficient.Objective In order to improve the pratical application of this indicator system,this study uses the index system to retrospectively evaluate the implementation effect of basic public health services in Shenzhen from 2017 to 2022.Methods From 2022 to 2023,indicator data were collected through the literature method and the correspondence method,and the comprehensive index method was used to calculate the comprehensive index of basic public health services in Shenzhen and the index of each dimension from 2017 to 2022.Results Of the 54 indicators in the indicator system,49 were collected,with a completion rate of 91.8%.From 2017 to 2022,the comprehensive index of essential public health services in Shenzhen increased from 46.62 to 51.37,and the investment index increased from 3.75 to 10.40,and the execution index increased from 11.23 to 19.36,and the effect index decreased from 31.65 to 21.61.Looking at the effectiveness indices of the sub-projects alone,there was a large increase in the effectiveness index of health education,from 0.067 in 2017 to 4.079 in 2022;the effectiveness index of health management of patients with chronic diseases decreased from 13.469 in 2017 to 3.571 in 2022,with a minimum of 3.223(2021)and a maximum of 14.970(2019),the lowest values of child health management,knowledge and satisfaction effectiveness index were 3.374 and 1.987 respectively,both occurring in 2019.The lowest value of maternal health management effect index was 4.052 in 2022.Conclusion The application of the effect-oriented basic public health comprehensive evaluation index system to evaluate the basic public health services at the municipal level has certain feasibility and scientificity,but some of the indicators reflecting the population's health risk factors and health status still have the problem of low availability.The information-based full-quantity appraisal can solve the problem of data misreporting and improve the efficiency of project supervision.However,with service coverage nearing saturation,its facilitating effect is limited.In the future,the essential public health services should aim to improve service quality and enhance the health benefits of the population,with a particular focus on awareness and satisfaction,to continually improve the sense of access for residents.