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Developing a Performance Measurement Framework and Indicators for Community Health Service Facilities in Urban China

机译：为中国城市社区卫生服务设施制定绩效衡量框架和指标

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Background China has had no effective and systematic information system to provide guidance for strengthening PHC (Primary Health Care) or account to citizens on progress. We report on the development of the China results-based Logic Model for Community Health Facilities and Stations (CHS) and a set of relevant PHC indicators intended to measure CHS priorities. Methods We adapted the PHC Results Based Logic Model developed in Canada and current work conducted in the community health system in China to create the China CHS Logic Model framework. We used a staged approach by first constructing the framework and indicators and then validating their content through an interactive process involving policy analysis, critical review of relevant literature and multiple stakeholder consultation. Results The China CHS Logic Model includes inputs, activities, outputs and outcomes with a total of 287 detailed performance indicators. In these indicators, 31 indicators measure inputs, 64 measure activities, 105 measure outputs, and 87 measure immediate (n = 65), intermediate (n = 15), or final (n = 7) outcomes. Conclusion A Logic Model framework can be useful in planning, implementation, analysis and evaluation of PHC at a system and service level. The development and content validation of the China CHS Logic Model and subsequent indicators provides a means for stronger accountability and a clearer sense of overall direction and purpose needed to renew and strengthen the PHC system in China. Moreover, this work will be useful in moving towards developing a PHC information system and performance measurement across districts in urban China, and guiding the pursuit of quality in PHC.
机译：背景信息中国没有有效，系统的信息系统来提供加强PHC（初级卫生保健）的指导或向公民反映进展情况。我们报告了中国基于结果的社区卫生设施和医疗站逻辑模型（CHS）的发展情况，以及一套旨在衡量CHS优先级的相关PHC指标的发展情况。方法我们采用加拿大开发的基于PHC结果的逻辑模型以及在中国社区卫生系统中进行的当前工作来创建中国CHS逻辑模型框架。我们采用了分阶段的方法，首先构建框架和指标，然后通过包括政策分析，相关文献的批判性审查以及利益相关者多方协商在内的互动过程来验证其内容。结果中国CHS逻辑模型包括投入，活动，产出和成果，共有287项详细绩效指标。在这些指标中，有31项指标用于衡量投入，64项衡量活动，105项衡量产出，而87项指标衡量的是立即（n = 65），中间（n = 15）或最终（n = 7）结果。结论逻辑模型框架在系统和服务级别的PHC计划，实施，分析和评估中可能会很有用。中国CHS逻辑模型和后续指标的开发和内容验证提供了一种更强的责任感，以及对更新和加强中国的PHC体系所需的更明确的总体方向和目的的理解。此外，这项工作将有助于发展PHC信息系统和跨中国城市地区的绩效评估，并指导对PHC质量的追求。

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