›› 2011, Vol. 31 ›› Issue (2): 128-.doi: 10.3969/j.issn.1674-8115.2011.02.002

• Monographic report (Evaluation of medicaland health system reform) • Previous Articles     Next Articles

Study on evaluation indicators of medical security system reform

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

Abstract:

Objective To build up evaluation indicator system of China's new health reform in medical security system, and establish evaluation standards fit to different time and areas. Methods Evaluation indicators of medical security system were set up from the government dimension, public dimension, internal management dimension and innovation and learning dimension using the model of Balanced Scorecard. Evaluation indicators were screened by Delphi consultation, and advice from experts on the evaluation standards was collected. Results Twelve indicators (coverage rate of medical insurance for urban residents, coverage rate of new rural cooperative medical insurance, coverage rate of medical insurance for retirees of bankrupt enterprises, coverage rate of medical insurance for migrant workers, coverage rate of medical insurance for low-income family, fee reduction level of new medical insurance for farmers, rate of poverty due to illness for farmers, rate of poverty due to illness for urban residents, growth rate of government grants for new rural cooperative medical insurance, growth rate of government grants for urban residents, balance rate of new rural cooperative medical insurance and compensation cycle of new rural cooperative medical insurance)and weight were determined, and advice was proposed. Conclusion The established evaluation indicator system of medical security system takes the four dimensions of government, public, internal management and innovation and learning into consideration, is fit to different time and areas, and bears high value of reference.

Key words: new health reform, medical security system, evaluation indicators, Balanced Scorecard, Delphi expert consultation