上海市医改监测与评价研究的探索

Exploration study on monitoring and evaluation of health system reform in Shanghai

阐述了上海市开展医改监测评价研究的理论基础和技术路线，通过两轮专家咨询和联络员联席会议，从投入与活动、产出、结果和影响等4方面初步建立了上海市医改监测评价指标框架，还确定了13个二级指标和133个三级指标。依据主要的基线数据，初步分析了上海医改可能面临的问题与挑战。从研究和实践两个层面提出了开展医改监测评价工作的建议。

This paper presented both the theoretical basis and the technical route of the study for health system reform in Shanghai via system monitoring and evaluation. By way of two rounds of expert consultation and joint liaison meetings, the study initially established framework indicators of such based on the following four aspects, ineluding inputs and activities, outputs, outcomes and impact. Also, the study identified 13 grade-2 indicators and 133 grade-3 indicators. Based on the main results of the baseline survey,the paper preliminary analysed the problems and challenges that may be faced in the field of Shanghai health system reform, and proposed suggestions for carrying out monitoring and evaluation of the health system reform respectively on both a research and practical level.