| 引用本文：胡善联.医药卫生体制改革评价的理论与实践[J].中国卫生政策研究,2015,8(1):2-7 |
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| 医药卫生体制改革评价的理论与实践 |
| 投稿时间：2014-12-02 修订日期：2015-01-10 PDF全文浏览 HTML全文浏览 |
| 胡善联1,2 |
1. 上海市卫生发展研究中心 上海 200040;
2. 复旦大学公共卫生学院 上海 200032 |
| 摘要:卫生体制通常是指一个国家(或地区)所确立的一种卫生服务制度安排。我国医药卫生体制改革的目标是到2020年,建立健全覆盖城乡居民的基本医疗卫生制度,为群众提供安全、有效、方便、价廉的医疗卫生服务。评价的基本方法是按照“投入—过程—结果”的评价体系。本文介绍了卫生改革评价的多种定性和定量的研究方法,特别提出了注意当前政策冲突的各种表现。卫生改革政策的效果应强调长期的评价。本文以县级公立医院、基本药物制度、支付方式和基准支付价格四个方面的改革为例进行了具体的分析和讨论。 |
| 关键词:卫生体制改革 监测和评价 公立医院改革 基本药物制度 支付方式改革 支付价格改革 |
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| Theory and practice of evaluation in health system reform |
| HU Shan-lian1,2 |
1. Shanghai Health Development Research Center, Shanghai 200040, China;
2. School of Public Health, Fudan University, Shanghai 200032, China |
| Abstract:Health system typically refers to the arrangement of a defined health service system in a given country or region. The objective of China's health system reform is to establish and improve a basic healthcare system for all urban and rural citizens by 2020, which will provide safe, efficient, convenient and inexpensive healthcare services. The basic evaluation method is to adopt the “input-process-outcome” framework. The paper introduces different types of qualitative and quantitative research methods for policy monitoring and evaluation, especially, the paper notes the different performance of health reform policies in present policy conflicts. The importance of long-term evaluation should be emphasized. Finally, the paper raises four cases to illustrate the reform evaluation, i.e., county public hospital reform, essential medicine systems, payment system reforms and referential pricing. The advantages and disadvantages are analyzed and discussed. |
| Key words:Health system reform Monitoring and evaluation Public hospital reform Essential medicine system Payment system reform Reference pricing reform |
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