我国乡村卫生服务一体化管理政策效果评价研究  

Outcome research of rural health services integration policy in China

作　　者：田淼淼[1] 项远兮[2] 袁芳[2] 钱东福[3] 冯占春[2] 

机构地区：[1]中国医学科学院卫生政策与管理研究中心,北京100020 [2]华中科技大学医药卫生管理学院 [3]南京医科大学医政学院

出　　处：《中华医院管理杂志》2014年第11期822-825,共4页Chinese Journal of Hospital Administration

基　　金：美国中华医学会资助项目（10-030）;中央级公益性科研院所基本科研业务费资助项目（13R0113）

摘　　要：目的建立我国乡村卫生服务一体化管理政策效果评价概念框架和指标体系,为明确一体化管理重点并改善政策效率提供借鉴.方法通过文献研究法和Delphi法,构建乡村卫生服务一体化管理政策效果评价概念框架和指标体系,并运用综合指数法和加权TOPSIS法进行指标一致性检验.结果乡村卫生服务一体化管理政策效果评价概念框架和指标体系包含4个概念层、8个政策主要目标和27个评价指标;专家积极系数为0.95,专家权威程度＞0.90.结论构建以SPO模型为基础的乡村卫生服务一体化管理政策效果概念框架,指导建立包括组织体系建设、卫生服务提供以及满意度3个方面的政策效果评价指标体系.Objective To provide reference for focusing and improving policy efficiency in China by establishing the conceptual model and index system of effectiveness of Township and Village Health Services Integration Policy（TVI）.Methods The conceptual model and index system of TVI effectiveness were established by literature review and Delphi method.Comprehensive Index Method and Weighted TOPSIS Method were used in index consistency check.Results The conceptual model and index system of TVI effectiveness contain four conceptual modules,8 policy goals and 27 evaluation indexes.The positive coefficient of experts is 0.95 and authoritative grades of experts are more than 0.90.Conclusion Based on SPO Model,the conceptual model and index system of TVI effectiveness in China have been established,which consists three aspects：construction of organization system,health services and satisfaction.

关 键 词：乡村卫生服务一体化管理 政策效果 评价 指标体系 

分 类 号：R197.1[医药卫生—卫生事业管理]