引用本文:谭鹏, 代涛, 傅鸿鹏, 王梅, 谢学勤, 杨玉洁.国际卫生系统绩效评价框架的特点及启示[J].中国卫生政策研究,2019,12(4):6-12 |
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国际卫生系统绩效评价框架的特点及启示 |
投稿时间:2018-07-19 修订日期:2018-12-06 PDF全文浏览 HTML全文浏览 |
谭鹏1, 代涛2, 傅鸿鹏3, 王梅1, 谢学勤4, 杨玉洁5 |
1. 北京市卫生健康委员会信息中心 北京 100034; 2. 国家卫生健康委员会医药卫生科技发展研究中心 北京 100044; 3. 国家卫生健康委员会卫生发展研究中心 北京 100191; 4. 国家卫生健康委员会统计信息中心 北京 100810; 5. 中国医学科学院医学信息研究所 北京 100020 |
摘要:卫生系统绩效改进是各国卫生事业发展的优先事项。通过总结世界卫生组织、经济合作与发展组织、世界银行等国际组织,以及英国、美国、荷兰等典型国家的卫生系统绩效评价框架特点,为我国开展相关工作提供参考。卫生系统绩效评价框架的构建多参考投入产出模型和健康决定因素模型。卫生系统绩效评价框架呈现多元化、综合化发展趋势,且随着卫生发展阶段的不同而不断更新完善。各国卫生系统绩效评价框架有其自身特点,但也存在一定的规律性。卫生系统绩效评价框架应及时反映本国卫生发展的变化和国际理念的更新;完善数据信息系统,建立公开透明的卫生系统绩效评价动态监测机制;充分发挥卫生系统绩效评价的工具作用,有效推进卫生体系改革。 |
关键词:卫生系统 绩效评价 特点 启示 |
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Characteristics of international health system performance evaluation frameworks and their implications for china |
TAN Peng1, DAI Tao2, FU Hong-peng3, WANG Mei1, XIE Xue-qin4, YANG Yu-jie5 |
1. Information Center of Beijing Municipal Health Commission, Beijing 100034, China; 2. Development Center for Medical Science and Technology, National Health Commission, Beijing 100044, China; 3. China National Health Development Research Center, National Health Commission Beijing 100191, China; 4. Statistical Information Center of National Health Commission, Beijing 100810, China; 5. Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
Abstract:Health system performance improvement isregarded in various countriesas the priority in developing health services. This paper summarizes the characteristics of health system performance evaluation frameworks adopted by international organizations and different countries with typical health systems, such as the World Health Organization, the Organization for Economic Cooperation and Development, the World Bank, the United Kingdom, the United States and the Netherlands, in order to provide references to carry out related workin China. The Health Determinants Model and Input-Output Model are the main approaches used to construct health system performance evaluation frameworks. Current health system evaluation frameworks show a diversified and comprehensive trend, and are constantly updated and improved based on different health development statuses. Health system evaluation frameworksvary from country to country, but they also have certain regularities.Health system evaluation frameworks should reflect the changes in national health development and the updates of international conceptsin a timely manner,improve the information system, establishan open and transparent health monitoring mechanism of dynamic health system performance, and make full use of health system performance evaluation tools in order to effectively promote health system reform. |
Key words:Health system Performance evaluation Characteristics Implications |
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