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目的观察城市社区公共卫生服务管理中实施绩效考核的效果。方法选取2013年海口市美兰区灵山镇为研究对象,对社区公共卫生服务管理系统实施绩效考核,观察比较社区2013年及2015年人均补助资金到位及使用情况、健康档案及电子档案设立情况、0~6岁儿童及65岁以上老人健康管理情况。结果 2015年社区资金筹集与使用情况较2013年好;2015年社区健康档案、电子档案建立情况、儿童及老人健康管理均较2013年好,差异有统计学意义(P<0.05)。结论对城市社区公共卫生服务管理实施绩效考核利于社区补助资金使用率提升,改善社区健康档案及电子档案建立情况,有效加强社区对儿童及老人的健康管理,效果显著。
Objective To observe the effect of performance appraisal in the management of urban community public health services. Methods In 2013, Lingshan Town, Meilan District, Haikou City was selected as the research object to conduct performance appraisal on the community public health service management system. The establishment and utilization of per capita subsidy funds, health records and electronic files in 2013 and 2015 were compared and observed. 0 ~ 6 years old children and the elderly over 65 years of health management. Results In 2015, community fund raising and utilization were better than those in 2013; community health records, e-archives establishment and health management of children and the elderly in 2015 were all better than those in 2013, with significant difference (P <0.05). Conclusions The performance appraisal of public health service management in urban communities is conducive to improving the utilization rate of community subsidy funds, improving the establishment of community health files and electronic files, and effectively strengthening the community health management of children and the elderly.