| 引用本文：苗艳青,吴佩林,陈文晶,等.新时代我国基层卫生健康综合评价：指数构建与实证研究[J].中国卫生政策研究,2025,18(6):18-25 |
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| 新时代我国基层卫生健康综合评价：指数构建与实证研究 |
| 投稿时间：2025-05-06 修订日期：2025-06-07 PDF全文浏览 HTML全文浏览 |
| 苗艳青1，吴佩林2，陈文晶3，诸宏明1 |
| 1.国家卫生健康委卫生发展研究中心 北京 100191;2.北京师范大学政府管理学院 北京 100875;3.北京邮电大学经济管理学院 北京 100876 |
| 摘要:目的 构建全国基层卫生健康发展指数（PHDI），测度全国基层卫生健康发展绩效。方法 通过专家咨询法构建指标体系框架，以综合赋权法确定指标权重。利用莫兰指数和泰尔指数分别衡量PHDI的空间自相关关系和区域差异。结果 （1）PHDI分为公共责任、卫生资源和综合服务3个维度，涵盖14个指标。（2）我国PHDI呈持续递增趋势，由2018年的70.46提升至2022年的83.02，年均增幅4.19%。（3）2018—2022年全国基层卫生健康发展在空间上呈现一定的集聚效应，指数得分高（低）的省份，相邻省份得分也高（低），但这一空间正相关关系在减弱。（4）我国基层卫生健康发展区域内和区域间差异呈逐年缩小趋势，区域内部差异主导了区域发展差异，且内部差异呈现“东部＞西部＞中部”的特征。结论与建议：全国基层卫生健康发展水平快速提升，均等可及态势逐渐显现，但区域内仍存在差异；应将基层卫生发展指标监测与评估工作常规化和制度化，并强化结果运用，加强区域内省份间的发展合作，促进基层卫生健康均衡发展。 |
| 关键词:基层卫生健康发展指数 综合评价 综合赋权法 |
| 基金项目:国家卫生健康委基层卫生健康司委托项目 |
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| The comprehensive evaluation of primary healthcare in China′s new era： Index construction and empirical analysis |
| MIAO Yan-qing1, WU Pei-lin2, CHEN Wen-jing3, ZHU Hong-ming1 |
| 1.China National Health Development Research Center， Beijing 100191， China;2.School of Government， Beijing Normal University， Beijing 100875， China;3.School of Economics and Management， Beijing University of Posts and Telecommunications， Beijing 100876， China |
| Abstract:Objective To construct the Primary Health Development Index （PHDI） and measure the performance of primary health care development in China.Methods The PHDI was established through expert consultation. The indicator weights were determined using a comprehensive weighting method. Spatial autocorrelation and regional disparities in PHDI were analyzed using Moran's I and Theil indices.Results （1） The PHDI framework comprises three dimensions—public accountability， health resources， and integrated services—covering 14 indicators. （2） The PHDI exhibited sustained growth， increasing from 70.46 in 2018 to 83.02 in 2022， with an average annual growth rate of 4.19%. （3） Spatial clustering of PHDI was observed， where provinces with high （low） scores neighbored provinces with similarly high （low） scores， though this positive spatial correlation gradually weakened. （4） Regional disparities in primary health care development showed continuous narrowing， with intra-regional differences dominating overall disparities. Intra-regional variations exhibited as "Eastern ＞ Western ＞ Central". Conclusions and suggestions： China's primary health care system has made rapid progress， with a growing trend toward more equitable access. However， disparities within regions persist. It is recommended to routinize and institutionalize the monitoring and evaluation of primary health care development indicators， enhance evidence-based policy implementation， strengthen inter-provincial collaboration within regions， and promote coordinated resource allocation to support balanced development. |
| Key words:Primary Health Development Index Comprehensive evaluation Hybrid weighting method |
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