【摘要】 目的 构建渝东北地区家庭医生签约服务质量评价指标，为全面评价签约服务质量提供参考依据。方法 应用文献分析法、德尔菲法等，参照服务质量(SERVQUAL)模型构建原始量表。以原始量表进行预调查，根据项目分析结果评价原始量表合理性。在正式调查中，将总样本随机分为均等的两份，分别进行探索性因子分析(EFA)和验证性因子分析(CFA)对指标体系的信效度进行检验。结果 正式调查中期望与感知两部分的Cronbach′s α系数分别为0.88、0.90,Spearman-Brown系数分别为0.71、0.82,样本1提取的5个公因子累计贡献率分别为54.18%、55.27%;样本2中指标与总分之间、指标之间均呈正相关，各项模型拟合指数均达到标准；最终形成包括5个一级指标、24个二级指标的评价体系。结论 该研究构建的家庭医生签约服务质量评价体系具有良好的信度与效度，可作为渝东北地区家庭医生签约服务质量评价工具。更多还原

【Abstract】 Objective To set evaluation indicators for the quality of contracted family doctor services, so as to provide reference for a comprehensive evaluation of the service quality. Methods With reference to the Service Quality(SERVQUAL) model, literature analysis and Delphi method were adopted to construct an original scale, which was used for a preliminary survey and the rationality of the original scale was evaluated based on the analysis results of the project. In the formal survey, the total samples were randomized into two equal groups and exploratory factor analysis(EFA) and confirmatory factor analysis(CFA) were conducted to test the reliability and validity of the indicator system. Results Cronbach’s α coefficients for expectation and perception in formal survey were 0.88 and 0.90, respectively, and the Spearman Brown coefficients were 0.71 and 0.82, respectively. The cumulative contribution rates of the five common factors extracted from Sample 1 were 54.18% and 55.27%; In sample 2, there was a positive correlation between dimensions and total scores, as well as between dimensions. The fitting indices of each model met the standard. The final evaluation system consisted of 5 primary indicators and 24 secondary indicators. Conclusions The constructed quality evaluation system for contracted family doctor services has good reliability and validity, which can be used as a tool for evaluating the service quality in the northeastern region of Chongqing.更多还原