上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (2): 133-.doi: 10.3969/j.issn.1674-8115.2011.02.003

• 专题报道（医改效果评估） • 上一篇    下一篇

医疗服务提供改革效果评价指标体系研究

赵 明1,2, 李妍婷1, 陆 琳1, 丁 蕾1, 马 进1   

  1. 1.上海交通大学 公共卫生学院, 上海 200025；2.上海申康医院发展中心, 上海 200041
  • 出版日期:2011-02-28 发布日期:2011-03-01
  • 通讯作者: 马 进, 电子信箱: majin@shsmu.edu.cn。
  • 作者简介:赵 明（1982—）, 女, 博士；电子信箱: zhaoming123@gmail.com。
  • 基金资助:

    国家发展和改革委员会社会发展司项目（2009HR01）

Study on evaluation indicator system of health service providing reform

ZHAO Ming1,2, LI Yan-ting1, LU Lin1, DING Lei1, MA Jin1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China；2.Shanghai Shenkang Hospital Development Center, Shanghai 200041, China
  • Online:2011-02-28 Published:2011-03-01
  • Supported by:

    Foundation from National Development and Reform Commission of China, 2009HR01

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摘要：

目的 建立我国医疗服务提供改革效果的评价指标体系。方法 借鉴平衡计分卡评价框架，综合德尔菲专家咨询和群众问卷调查结果，建立我国医疗服务提供改革效果的评价指标体系。结果 根据平衡计分卡的分析思路，从政府办医目标维度、群众满意度维度、医院运营维度和医院革新及可持续发展维度建立医疗服务提供改革的评价框架，并确定医疗服务提供评价指标。专家咨询结果显示，对检查与治疗的满意度、医疗事故发生率、病床周转率、每千人口病床数和每千人口医护人员数指标的权重较高。问卷调查结果显示，卫生人才培训合格率、政府投入年增长率、卫生服务网络覆盖率、患者对医疗服务的满意度和医疗事故发生率指标的得分较高。结论 初步建立我国医疗服务提供改革效果的评价指标，主要包括政府对医疗服务的投入、医疗卫生基础设施和人才队伍的建设以及医疗服务的质量、效率和费用控制等方面。

关键词: 医疗服务提供, 指标体系, 平衡计分卡

Abstract:

Objective To build up the evaluation indicator system of health service providing reform in China. Methods The evaluation indicator system of health service providing reform in China was established based on the evaluation frame of Balance Scorecard and the results of Delphi expert consultation and public questionnaire survey. Results According to the theory of Balanced Scorecard, the evaluation frame of health service providing reform was composed of government perspective, public perspective, hospital management perspective and hospital development perspective, and the evaluation indicators were determined. Expert consultation revealed that satisfaction in the examinations and treatment, prevalence of medical accidents, rate of sickbed turnover, number of sickbed per thousand population and number of medical staff per thousand population were indicators with higher weight. Public questionnaire survey indicated that qualification of medical staff, rate of annual growth of government investment, health network coverage, satisfaction in medical service from patients and prevalence of medical accidents were indicators with higher scores. Conclusion The evaluation indicator system of health service providing reform in China is preliminarily established, which mainly contains aspects of government investment in health service, construction of health facilities and cultivation of medical staff, and management of quality, efficiency and cost of health service.

Key words: health service providing, indicator system, Balanced Scorecard