The Research On The Evaluation Index System For Urban Community Public Health Service

ObjectiveBeing an important component of community health service, community public health service has great meaning to the implementation of public health function in community. However, most community health institutions do less public health service than they should do. In order to insure the basic public health, it is urgent to establish an evaluation mechanism of community public health. The objectives of this research is to explore and establish a scientific evaluation index system for urban community public health service, we try to find the deficiency of urban community health service after using the evaluation index system to evaluation 10 community health service centers.Methods1. Based on policy research and literature study, the co-ordination group developed an initial evaluation index system.2. We selected 60 experts who specialized in the field of public health, health administration, general practice, etc. Sixty and forty-nine consultation tables were delivered separately by mail in two rounds Delphi consultation. All the experts were asked to grade the evaluation indexes, and to explain the extent of similarity and the basis of judgment. The evaluation indexes and their weights were determined after two rounds Delphi consultation.3. By convenience sampling, we chose ten community health service centers as the subjects. All the data needed were collected by questionnaire survey and site investigation. The comprehensive scoring method was used to assess the ten community health service centers.Results1.The index system was established after two turn's consultation, which consisting of twenty-three indexes. The active coefficient of two rounds Delphi is 81.67% and83.67% respectively; the authoritative coefficient of two rounds is 0.700 and 0.704; the harmonious coefficient of the two rounds Delphi is 0.223(P>0.05) and 0.472(P<0.05).2.The evaluation was conducted using the developed index system in the ten community health service centers of Guangzhou. The score of the selected community health service centers ranged from 86.46 to 60.44, the average score is only 68.9.Conclusions1.In the two rounds Delphi consultation, Panel of experts shown great initiative and have great authority on research subjects. All experts have been tending to consentience after two turn's consultation, and the result is reliable. This index system has considerable reference value in the evaluation of community public health services.2.According to the appraisal results of the 10 community health service centers in Guangzhou, there is still much to be improved in health record management, chronic disease management, health care for aged and community-based rehabilitation.