【摘要】 目的分析提升基层医疗机构服务能力要素间的次序关系,为基层服务能力提升路径选择提供参考依据。方法利用自行设计调查问卷采用立意抽样方法,调查131名基层医疗机构、卫健委部门负责人和相关领域学者对卫生政策、财政投入、设备设施、人员配置和服务产出等服务能力要素重要性的评价;用结构方程拟合数据,通过相关分析、验证因子分析进行验证。结果能力要素间相关系数大于0.65,相邻要素间存在正向效应,大部分不相邻要素的间接效应大于直接效应。结论基层医疗机构服务能力要素间存在累积效应,应按卫生政策-财政投入-设备设施-人员配置-服务产出路径提升服务能力,累积效应有一定权变性。更多还原

【Abstract】 Objective To analyze the order relations of service capability elements of primary health care institutions,and provide references for path to service capability improvement. Methods 131 experts in related fields and administrators were sampled and surveyed with self-designed questionnaire. Structure equation model,correlation analysis and confirmatory factor analysis were used. Results The correlation coefficient of service capability elements was greater than 0.65. All the adjacent service capability elements had positive effects. And the indirect effects of non-adjacent elements were greater than their direct effects. Conclusion There has a cumulative effect among the capability elements of primary health care institutions,which is contingent. The path to improve the service capability should follow as health policy-fiscal investment-equipment and facilities-personnel allocation-service output.更多还原