英国QOF经验对我国全科医生职称评审指标体系构建的启示
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摘要
目的:尽快建立专门针对全科医生的职称评聘制度和指标体系是健全全科医学人才培养与发展激励机制的重点。现有临床医学专业技术资格评审制度既不能有效地评估临床能力和工作业绩,也不适用于基层全科医生职称评聘。英国2004年引入基层医疗服务的"质量与效果协议"(QOF)是一套反映全科医疗服务质量的指标体系,能够较好地评估全科医生工作业绩,且具有很强的可操作性,其制定的过程和方法值得借鉴于我国全科医生评聘指标构建。受其启示,建议我国在制定全科医生职称评聘制度时,科学设计评聘指标体系,使其能真正衡量出全科医生专业技术水平;注重临床工作日常业绩积累,将任职期间业绩作为职称评聘的重要依据;完善聘后待遇兑现机制,使岗位待遇能够与专业技术水平充分匹配。
Establishing professional title evaluation and appointment system and index system for general practitioners as soon as possible is the key to improve the incentive mechanism for training and developing general practitioners.The existing technical qualification assessment system for clinical medicine specialty cannot effectively evaluate the clinical ability and work performance.It is also not applicable to general practitioners(GPs).In 2004,quality and outcome framework(QOF)which is a set of indicators system reflecting the quality of general medical service was applied to primary medical services in Britain.The system has strong operability and evaluate GP's performance effectively,whose process and the method is worth learning.Inspired by it,some advises for title assessment index system establishment of GPs in China:The design of evaluation index should be scientific and enable to truly measure the professional and technical level of GPs,the performance during the tenure should be an important basis for title evaluation,the mechanism for the payment of post-employment benefits should fully match the professional and technical levels.
Establishing professional title evaluation and appointment system and index system for general practitioners as soon as possible is the key to improve the incentive mechanism for training and developing general practitioners.The existing technical qualification assessment system for clinical medicine specialty cannot effectively evaluate the clinical ability and work performance.It is also not applicable to general practitioners(GPs).In 2004,quality and outcome framework(QOF)which is a set of indicators system reflecting the quality of general medical service was applied to primary medical services in Britain.The system has strong operability and evaluate GP's performance effectively,whose process and the method is worth learning.Inspired by it,some advises for title assessment index system establishment of GPs in China:The design of evaluation index should be scientific and enable to truly measure the professional and technical level of GPs,the performance during the tenure should be an important basis for title evaluation,the mechanism for the payment of post-employment benefits should fully match the professional and technical levels.
引文
[1]王艳斌,欧阳昭连,陈薇,等.我国全科医师职称评审现状[J].中国全科医学,2014,5(17):1569-1570.
[2]许龙龙,苏婷婷,王爽,等,社区全科医生临床基本能力评估指标体系的初步研究[J].中国全科医学,2013,10(16):3358-3361.
[3]方圆.英国全科医疗绩效考核的经验及启示[J].上海医药,2014,7(35):21-24.
[4]Nice.Developing clinical and health improvement indicators for the Quality and Outcomes Framework(QOF)Interim process guide[J].Britian:National institute for Health and Clinical Excellence,2009:5.
[5]关于印发《临床医学专业中、高级技术资格评审条件(试行)》的通知[EB/OL].http://www.mohrss.gov.cn/gkml/xxgk/201407/t20140717_136404.htm 2015/16QOF guidance.http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework/changes-to-qof-2016-17.
[6]杨佳泓,张敬谊,唐礼榕.公立医院绩效评估系统的建设与应用实践[J].中国医院,2013,17(9):18-20.
[2]许龙龙,苏婷婷,王爽,等,社区全科医生临床基本能力评估指标体系的初步研究[J].中国全科医学,2013,10(16):3358-3361.
[3]方圆.英国全科医疗绩效考核的经验及启示[J].上海医药,2014,7(35):21-24.
[4]Nice.Developing clinical and health improvement indicators for the Quality and Outcomes Framework(QOF)Interim process guide[J].Britian:National institute for Health and Clinical Excellence,2009:5.
[5]关于印发《临床医学专业中、高级技术资格评审条件(试行)》的通知[EB/OL].http://www.mohrss.gov.cn/gkml/xxgk/201407/t20140717_136404.htm 2015/16QOF guidance.http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework/changes-to-qof-2016-17.
[6]杨佳泓,张敬谊,唐礼榕.公立医院绩效评估系统的建设与应用实践[J].中国医院,2013,17(9):18-20.