Development of basic medical service items in Shanghai community health service system

Abstract

Objective To define basic medical service items in Shanghai community health centers. Methods Two rounds of Delphi expert consultation were carried out with 36 experts specialized in general practice, general practitioner training, internal practice, public health and health management, then the scope of medical service system was set up based on experts' opinions. Results The newly-defined system consisted of three first-grade items: outpatient medical service, hospital medical service and medical service for home beds and temporary home visits. The first-grade items contained 22 second-grade items and the second-grade items consisted of 26 detailed items, including 17 baseline items, 8 optional items and 1 restrained item. In two rounds of Delphi consultation the activity coefficient of experts was all 100%, authority coefficients of experts was 0.825, and harmonious coefficient of the importance of the evaluation was 0.361 and 0.488 (all P<0.01), respectively. Conclusion The preliminarily developed system of basic medical service items in Shanghai community health service can provide a reference frame for government policy-making. Key words: Community health services; Delphi technique; Basic medical service items