| 引用本文：王竞波,曾云光,祝贺,等.基本公共卫生服务项目绩效评价：回顾与展望[J].中国卫生政策研究,2025,18(11):9-16 |
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| 基本公共卫生服务项目绩效评价：回顾与展望 |
| 投稿时间：2025-07-31 修订日期：2025-11-02 PDF全文浏览 HTML全文浏览 |
| 王竞波1,2，曾云光2，祝贺3，陈英耀1 |
| 1.复旦大学公共卫生学院 国家卫生健康委员会卫生技术评估重点实验室 上海 200032;2.国家卫生健康委项目资金监管服务中心 北京 100044;3.北京大学中国卫生发展研究中心 北京 100191 |
| 摘要:为推动基本公共卫生服务项目的顺利实施，保障项目资金的安全与高效使用，我国于2011年正式启动了基本公共卫生服务项目绩效评价工作。该项绩效评价经历了“初期探索（2011—2014年）、稳步推进（2015—2018年）、改革提升（2019年至今）”三个发展阶段，评价目标由早期侧重资金安全与服务覆盖，逐步拓展至强化质量管理、提升居民健康水平及获得感，并推动政策体系完善及主体责任落实。绩效评价已成为提升项目治理能力、优化资金配置的重要工具，逐步形成“多劳多得、优劳优酬”的绩效激励导向，有效促进了服务质量的持续提升。为进一步推进基本公共卫生服务项目高质量发展，未来应优化绩效评价体系，强化全周期绩效管理理念，增设健康结果类评价指标；全面深化信息技术应用，提高评价精准性与效率；创新评价结果应用机制，强化地方主体责任，从而增强项目绩效管理能力。 |
| 关键词:基本公共卫生服务项目 绩效管理 绩效评价 基层卫生 |
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| The performance assessment for Essential Public Health Services Program in China： Policy review and reflections |
| WANG Jing-bo1,2, ZENG Yun-guang2, ZHU He3, CHEN Ying-yao1 |
| 1.National Health Commission Key Laboratory of Health Technology Assessment， School of Public Health， Fudan University， Shanghai 200032， China;2.Center for Project Supervision and Management， National Health Commission， Beijing 100044， China;3.China Center for Health Development Studies， Peking University， Beijing 100191， China |
| Abstract:To promote the effective implementation of China's Essential Public Health Services Program （EPHSP） and ensure the secure and efficient utilization of project funds， China officially initiated the performance evaluation of EPHSP in 2011. This performance evaluation has evolved through three distinct phases： initial exploration （2011—2014）， steady advancement （2015—2018）， and reform and enhancement （2019—present）. The evaluation objectives have progressively expanded from an initial focus on fund security and service coverage to a broader emphasis on enhancing service quality， improving residents' health status and sense of benefit， and facilitating the refinement of policy frameworks and the implementation of primary responsibilities. Performance evaluation has emerged as a critical instrument for strengthening project governance and optimizing resource allocation， gradually establishing a performance-driven incentive mechanism that aligns rewards with both the quantity and quality of work. This approach has effectively contributed to the continuous improvement of service quality. To further advance the high-quality development of EPHSP， future efforts should optimize the performance evaluation system， prioritize the adoption of a full-cycle performance management approach and the integration of health outcome-based indicators. Additionally， it is essential to deepen the application of information technologies to enhance the precision and efficiency of evaluations， and to innovate mechanisms for utilizing evaluation results to reinforce accountability at the local level. These measures will collectively strengthen project performance management capabilities. |
| Key words:Essential Public Health Services Program Performance management Performance assessment Primary healthcare |
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