基于WHO评价模型的我国基本公共卫生服务综合评价  

Assessment of essential public health services in China based on WHO′s comprehensive evaluation model

作　　者：陈浩 孙源源 朱琳[1] 王红妹[1] Chen Hao;Sun Yuanyuan;Zhu Lin;Wang Hongmei(Department of Social Medicine,School of Public Health,Zhejiang University,Hangzhou 310058,China;School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]浙江大学公共卫生学院社会医学系,杭州310058 [2]南京中医药大学卫生经济管理学院,210023

出　　处：《中华医院管理杂志》2019年第11期881-885,共5页Chinese Journal of Hospital Administration

摘　　要：目的了解我国基本公共卫生服务均等化现状,为卫生资源配置以及公共卫生政策制定提供依据。方法借助WHO卫生服务综合评价模型,对我国31个省(自治区、直辖市)基本公共卫生服务进行综合评价,应用秩和比法进行排序分档和综合分析。结果依据综合评价结果,我国31个省(自治区、直辖市)可被划分为5类区域,即相对均等区、过低投入区、资源匮乏区、过度利用区及资源浪费区。结论当前我国基本公共卫生服务均等化正逐步得以实现,但部分地区依旧存在资源投入与卫生需要水平不够匹配、资源浪费以及过度利用等问题,应针对不同区域制定相关的政策。Objective To understand the current equalization in essential public health services in China,and to provide recommendations for health resource allocation and public health policy making.Methods WHO′s comprehensive evaluation model,and the Rank Sum Ratio(RSR)method were used to analyze,rank and categorize essential public health services.Results Thirty-one provinces(cities,autonomous regions)in China were grouped into five categories,namely,relatively balanced area,low input area,resource shortage area,over utilization area and resource waste area.Conclusions The equalization of essential public health services in China is gradually being realized,but there are still setbacks such as mismatch between health needs and resource input,waste and over-utilization of resources.To correct these problems,relevant recommendations on health policy making for different areas were given.

关 键 词：卫生服务管理 基本公共卫生服务 综合评价 秩和比法 世界卫生组织 

分 类 号：F42[经济管理—产业经济]