中国卫生系统绩效评价指标体系构建

摘要

目的：构建卫生系统绩效评价指标体系，为我国卫生系统绩效评价和卫生系统加强提供理论依据。方法采用文献研究、实证数据和专家咨询等方法，构建我国卫生系统绩效评价指标体系。结果充分借鉴国际经验并结合我国具体情况，构建以广义卫生系统概念模型为基础的评价指标体系，包括一级指标4个，二级指标15个，三级指标69个。结论广义卫生系统绩效评价框架适合我国卫生系统绩效评价，优化指标、理解指标的缺点并进行谨慎解释，对于卫生系统绩效评价至关重要。%Objective To construct the performance evaluation framework for China′s health system,and provide evidences for enhancement of such evaluation and the health system.Methods Literature review and empirical research were combined with expert consultation to construct such an evaluation index system.Results In view of both international experiences and China′s specifics,an evaluation index system is built based on the generalized concept model of the health system,consisting of 4 class-1 indicators, 1 5 class-2 indicators and 6 9 class-3 indicators.Conclusions The generalized framework of health system performance evaluation fits such evaluation in China,and indicator optimization and understanding of the shortcomings with cautious explanation are of critical importance.This evaluation remains in its infancy in China,and there is a long way to go before a health system performance evaluation system can be built in China.