Page 32 - 中国全科医学2022-07

http://www.chinagp.net E-mail:zgqkyx@chinagp.net.cn ·797·

·家庭医生签约服务专题研究·

基于 IMOI 模型构建家庭医生签约服务团队

评估指标的系统综述

扫描二维码
1
马文翰 ，史大桢 1，2 ，赵亚利 1* 查看原文

【摘要】 背景 家庭医生签约服务团队是当前基层医疗服务的主要提供者，提升团队服务质量是提高社区卫生
服务效果的重要手段。有关团队服务有效性的评估研究日益受到重视。目的 以投入 - 中介 - 产出 - 再投入（input-
mediator-output-input，IMOI）模型为框架，对国内外评估家庭医生签约服务团队有效性的指标进行分类归纳，了解各
结构中指标的核心维度。方法 计算机系统检索 PubMed、中国知网、万方数据知识服务平台及维普中文期刊全文数
据库中关于国内外家庭医生签约服务团队评估指标构建的文献，检索时限为 2000 年 1 月至 2020 年 10 月。采用指标
映射法将指标按照 IMOI 模型结构分类并对其进行比较分析。结果 纳入 14 篇研究，其中国外 4 篇、国内 10 篇。按
照 IMOI 模型分析，投入（I）主要与组织环境、团队建设、团队中个人素质等相关，中介（M）关注团队突生状态和
团队过程，结果（O）则以服务结果、个人反馈为主，再投入（I'）指标缺乏。结论 国内外家庭医生签约服务团队评
估指标构建相关研究的理论模型和研究方法质量仍需提高。依照 IMOI 模型构建指标可以很好地评估团队有效性，但
需要进一步补充指标内容。
【关键词】 家庭医生签约服务；家庭医生团队；评估指标；IMOI 模型；系统综述
【中图分类号】 R 197 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2021.00.235
马文翰，史大桢，赵亚利 . 基于 IMOI 模型构建家庭医生签约服务团队评估指标的系统综述［J］. 中国全科医学，
2022，25（7）：797-802.［www.chinagp.net］
MA W H，SHI D Z，ZHAO Y L. Constructing assessment indicators regarding effectiveness of a family doctor team using
the IMOI framework：a systematic review［J］. Chinese General Practice，2022，25（7）：797-802.

Constructing Assessment Indicators Regarding Effectiveness of a Family Doctor Team Using the IMOI Framework：a
1
1*
Systematic Review MA Wenhan ，SHI Dazhen 1，2 ，ZHAO Yali
1.School of General Practice and Continuing Education，Capital Medical University，Beijing 100069，China
2.Fengtai District Puhuangyu Community Health Center，Beijing 100075，China
*
Corresponding author：ZHAO Yali，Associate professor；E-mail：zylnmtb@ccmu.edu.cn
【Abstract】 Background Improving the effectiveness of a family doctor team，the main provider of primary healthcare，
is an important means to enhance the effectiveness of community health services. The evaluation of team effectiveness has gained
increasing attention. Objective To classify and summarize the assessment indicators and analyze the core dimensions of each
indicator set regarding the effectiveness of a family doctor team using the input-mediator-output-input（IMOI） framework. Methods
Studies about the development of indictors for assessing the effectiveness of a family doctor team were systematically retrieved from
databases of PubMed，CNKI，Wanfang Data and VIP from January 2000 to October 2020. Indicator mapping was used to classify
and compare the indictors according to the structure of IMOI framework. Results Fourteen studies were included，4 of which were
published abroad，and 10 in China. The indicators were classified using the IMOI framework：organizational environment，team
building，and team member quality were classified as input（I），team emergent state and team process were classified as mediator
（M）；service achievement and personal feedback were classified as output（O），but no indicators were classified as input
（I'）. Conclusion The qualities of theoretical models and research methods used for developing assessment indicators regarding
the effectiveness of a family doctor team need to be improved. The assessment system developed based on the IMOI framework may be
a good tool for evaluating team effectiveness，but the indicators need to be supplemented further.
【Key words】 Contracted family doctor services；Family doctor team；Evaluation indicators；IMOI model；Systematic review

基金项目：北京市社会科学基金一般项目（18SRB012）——基于 IMOI 模型的家庭医生签约服务团队绩效评估指标构建及实
证研究
1.100069 北京市，首都医科大学全科医学与继续教育学院 2.100075 北京市丰台区蒲黄榆社区卫生服务中心
*
通信作者：赵亚利，副教授；E-mail：zylnmtb@ccmu.edu.cn
本文数字出版日期：2021-08-05