深化医药卫生体制改革最终绩效评估指标体系的研究

Study on final performance indicators of deepening medical and health system reform

目的阐述深化医药卫生体制改革评估研究所得出的最终绩效指标的设立。方法采用文献评阅法,借鉴世界卫生组织和世界银行对卫生系统的评估框架,研究《中共中央国务院关于深化医药卫生体制改革的意见》和《医药卫生体制改革近期重点实施方案(2009—2011年)》2个文件,通过德尔菲专家咨询法对指标进行评分筛选。结果筛选确定10个最终绩效指标及其权重,并提出政策建议。结论专家比较关注水平性指标及患者满意度指标,建议可以重点从水平情况和患者角度评估新医改。

Objective To explain the set-up of the final performance indicators in the whole evaluation indicator system of the deepening medical and health system reform. Methods Through literature review,the frame adopted by World Health Organization(WHO) and World Bank in evaluating health system was referred,the related documents of the Central People's Government of China were studied,and the final performance indicators were selected through Delphi method. Results Ten final performance indicators and weight were determined,and policy advice was proposed. Conclusion In the final performance indicators,experts focus more on the performance level and patients' satisfaction,and it is suggested that more importance should be attached to these two aspects to evaluate the final performance of new health reform.