论区域卫生规划评价工作中的几个问题  

Several issues in the evaluation of regional health planning

作　　者：傅鸿鹏[1] 雷海潮[2] 周和宇 

机构地区：[1]北京市疾病预防控制中心,100013 [2]中华人民共和国卫生部政策法规司 [3]国家发展与改革委员会社会发展司

出　　处：《中华医院管理杂志》2005年第8期505-508,共4页Chinese Journal of Hospital Administration

摘　　要：分析当前我国各地开展区域卫生规划评价的过程中,在评价主体、评价内容、评价模式、评价标准等方面存在的多种可能性及其对评价效果的影响。提出在区域卫生规划评价工作中的操作性建议。在评价主体上,应尽可能选择外部评价者为主、内部评价者为辅的方式;在评价内容上,地方政府或卫生行政部门适宜进行经常性的方案评价和执行评价,政策效果评价宜由学术团体等外部评价者协助开展;从可操作性角度,地方政府适宜以目标确定的模式来开展常规和定期的评价工作。最后,作者还讨论了区域卫生规划评价工作中合理目标、规划目标、指标现值三者之间存在差距时,各种情况所蕴涵的现实意义和解决措施。In the evaluation of regional health planning as conducted in various parts of the country, there exist many possibilities with regard to the evaluation subject, evaluation content, evaluation model, and evaluation criteria. The paper analyzes these possibilities and their effect on the evaluation results and puts forward operational, suggestions for such evaluation. With regard to the evaluation subject, the key role ought to be given to external evaluators, with internal evaluators playing an auxihary role. With regard to the evaluation content, it is appropriate for the local governments or health administrative departments to conduct continuous plan evaluation and implementation evaluation, whereas policy evaluation ought to be conducted with the help of external evaluators such as academic societies. With regard to operability, it is proper for the local governments to conduct routine and periodic evaluations with fixed goals. The paper also discusses the realistic meanings embodied in various situations and solutions in case of a gap between the rational goals, planned goals and current index values in the evaluation of regional health planning.

关 键 词：区域卫生规划 政策评价 标准 评价工作 卫生行政部门 评价主体 评价内容 外部评价 地方政府 可操作性 

分 类 号：R197.1[医药卫生—卫生事业管理]