Establishment and Practice of the Evaluation Index System for Family Doctors in a Community Health Service Center of Shanghai

Zhang Yan; Hu Chengwei; Liu Yilei; Zhu Jie; Wang Lili; Zhi Yanhong

doi:10.3969/j.issn.1001-568X.2026.01.0005

Abstract：OBJECTIVE To explore the construction of a performance evaluation index system for family doctors at the Changzheng Town Community Health Service Center,to test the preliminary implementation effectiveness of this system,to improve the family doctor management system,thereby effectively motivating the intrinsic drive of family doctors,comprehensively enhancing their overall capabilities,and ultimately promoting the high-quality development of the community health service center.METHODS Referring to the key indicators of the National Quality Service Grassroots Campaign,the comprehensive evaluation of community health services in Shanghai,and the performance evaluation of community health service centers in Putuo District,the target management method and group discussion method were used to initially construct the family doctor performance evaluation index system.The Delphi method was introduced to screen and determine the scoring weights of the indicators.According to the constructed index system,monthly and annual evaluations were conducted for the center's family doctors,and evaluation data for 2023 and 2024 were collected informationally.The evaluation results were promptly fed back to the family doctors,and the effectiveness of the evaluation was deeply analyzed.RESULTS In 2023,a comprehensive ability evaluation index for family doctors was established,with specific content divided into monthly and annual evaluation indicators.In 2024,minor adjustments were made to certain indicators within the basic medical care category based on operational requirements,though the total score for this section remained unchanged.Evaluation results indicate that the monthly assessment totals for 33 family doctors in early 2023(January)and late 2023(December)were(142.63±12.99)points and(167.12±6.98)points,respectively.In 2024,the monthly evaluation total scores for the beginning(January)and end(December)periods were(160.77±8.84)points and(177.49±8.45)points,respectively.CONCLUSION The construction of the family doctor performance evaluation index system has effectively motivated the intrinsic drive of family doctors to a certain extent,but there are still some shortcomings and deficiencies.Subsequent efforts need to gradually improve the evaluation system,increase support for the research,teaching,and personal ability training of family doctors.