上海区县卫生系统绩效评价概念框架设计

摘要

本研究参照国际多个国家和组织的卫生服务系统绩效评估框架,结合上海区县卫生系统的特点,提出上海区县卫生系统绩效评价概念框架.其绩效框架包含2个一级评估目标和7个二级评估维度:在长期目标中,“健康状况”、“满意度”和“疾病风险保护”是区县卫生系统绩效的长期效果评估维度;在中期目标中,“可及性”、“成本”、“效率”和“质量”,是区县卫生系统绩效的中期效果评估维度.本研究旨在评价区县卫生系统改善健康能力的整体绩效.其三级指标有待进一步研究确立.%Shanghai district and county health system performance evaluation conceptual frameworkwas proposed based on health services system performance assessment frameworks raised by some countries and international organizations,and combined with Shanghai district and county health system characteristics.This framework contains two first grade indices and seven second grade indices:In the long term goals,'health','satisfaction' and 'disease risk protection' are the county's longterm effects of health system performance assessment dimensions; in the medium-term goals,the'accessibility','cost',' efficiency' and 'quality' are the county' s medium-term effects of health system performance assessment dimensions.This study aimed to evaluate Shanghai county health system's overall performance.Further study is needed in constructing its third grade indices.