Developing an indicator system for family doctor services within the "healthy subdistrict" initiative in China
10.3760/cma.j.cn114798-20250619-00789
- VernacularTitle:“健康街道”建设中家庭医生健康服务内容的指标体系构建
- Author:
Tiancheng ZHANG
1
;
Liying SHAO
;
Wen BAI
;
Ping ZHOU
;
Zhengwen FENG
;
Juan DU
;
Jianbiao XIAO
Author Information
1. 北京市丰台区大红门社区卫生服务中心，北京 100075
- Publication Type:Journal Article
- Keywords:
Community health services;
Primary health care;
Delphi technique
- From:
Chinese Journal of General Practitioners
2025;24(12):1525-1532
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop an indicator system for defining the health services provided by family doctors within the "Healthy Subdistrict" initiative in China.Methods:An initial set of indicators was developed through literature review and qualitative research, followed by the design of an expert consultation questionnaire. Twenty-one experts with extensive experience in community family doctor services in Beijing were selected. Two rounds of Delphi consultations were conducted via email between December 2024 and February 2025. Expert demographics and authority coefficients were collected and the indicator system was finalized.Results:The response rate was 100% for both rounds. The average expert authority coefficient ( Cr) was 0.860 (range: 0.700-1.000). Kendall′s W for importance and feasibility increased from 0.129 and 0.196 in the first round to 0.230 and 0.268 in the second round (all P<0.001), indicating strong consensus. The final system includes 5 first-level and 23 second-level indicators, categorized as: Integrated Preventive and Clinical Care Services, Healthy Community Promotion Services, Basic Medical Services, Public Health Services, and Services for Promoting Equity in Citizen Health and Well-being. The highest-weighted first-level indicators were Basic Medical Services (0.281) and Integrated Preventive and Clinical Care Services (0.281), followed by Services for Promoting Equity in Citizen Health and Well-being (0.191), Healthy Community Promotion Services (0.124), and Public Health Services (0.124). All indicators had importance and feasibility scores above 3.5. Conclusion:This study establishes a weighted indicator system to guide and evaluate the health services provided by family doctors within the "Healthy Subdistrict" initiative, clarifying key service priorities.
