University of British Columbia, School of Nursing and Centre for Health Services Policy Research, 6190 Agronomy Road, #302, Vancouver, British Columbia, V6T-1Z3, Canada.
BMC Fam Pract. 2010 Nov 18;11:91. doi: 10.1186/1471-2296-11-91.
China has had no effective and systematic information system to provide guidance for strengthening PHC (Primary Health Care) or account to citizens on progress. We report on the development of the China results-based Logic Model for Community Health Facilities and Stations (CHS) and a set of relevant PHC indicators intended to measure CHS priorities.
We adapted the PHC Results Based Logic Model developed in Canada and current work conducted in the community health system in China to create the China CHS Logic Model framework. We used a staged approach by first constructing the framework and indicators and then validating their content through an interactive process involving policy analysis, critical review of relevant literature and multiple stakeholder consultation.
The China CHS Logic Model includes inputs, activities, outputs and outcomes with a total of 287 detailed performance indicators. In these indicators, 31 indicators measure inputs, 64 measure activities, 105 measure outputs, and 87 measure immediate (n = 65), intermediate (n = 15), or final (n = 7) outcomes.
A Logic Model framework can be useful in planning, implementation, analysis and evaluation of PHC at a system and service level. The development and content validation of the China CHS Logic Model and subsequent indicators provides a means for stronger accountability and a clearer sense of overall direction and purpose needed to renew and strengthen the PHC system in China. Moreover, this work will be useful in moving towards developing a PHC information system and performance measurement across districts in urban China, and guiding the pursuit of quality in PHC.
中国一直缺乏有效的、系统的信息系统，无法为加强基层医疗保健（PHC）提供指导，也无法向民众报告进展情况。我们报告了中国社区卫生设施和站（CHS）基于结果的逻辑模型的开发情况，以及旨在衡量 CHS 重点的一系列相关 PHC 指标。
我们借鉴了加拿大开发的 PHC 基于结果的逻辑模型以及中国社区卫生系统目前的工作，创建了中国 CHS 逻辑模型框架。我们采用分阶段的方法，首先构建框架和指标，然后通过政策分析、对相关文献的批判性审查以及多方利益相关者协商等互动过程验证其内容。
中国 CHS 逻辑模型包括投入、活动、产出和结果，共有 287 个详细的绩效指标。在这些指标中，31 个指标衡量投入，64 个指标衡量活动，105 个指标衡量产出，87 个指标衡量即时（n=65）、中期（n=15）或最终（n=7）结果。
逻辑模型框架可用于规划、实施、分析和评估系统和服务层面的 PHC。中国 CHS 逻辑模型及其后续指标的开发和内容验证为加强中国的 PHC 系统提供了更强的问责制和更清晰的总体方向和目的感。此外，这一工作将有助于在中国城市各地区开发 PHC 信息系统和绩效衡量，并指导追求 PHC 的质量。
