基于结果链的基本公共卫生服务实施偏差分析  

Analysis of Deviation in Implementation of Basic Public Health Services Based on Result Chain

作　　者：毛淋淇 励晓红[1] 吕军[1] 郝峰峰 钱国华 袁红[3] 张一英[3] 吴擢春[1] MAO Lin-qi(School of Public Health,Fudan University,Shanghai,P.R.China)

机构地区：[1]复旦大学公共卫生学院,复旦大学中国残疾问题研究中心,国民健康社会风险预警协同创新中心,上海200032 [2]昆山市卫生和计划生育委员会 [3]上海市嘉定区疾病预防控制中心

出　　处：《中国卫生事业管理》2019年第11期801-804,共4页Chinese Health Service Management

基　　金：国家自然科学基金项目“基于SNA的基本公共卫生服务运行机制优化关键技术研究”(71573049);“多元利益团体合作视角的公立医院补偿机制改革策略研究”(71373051);“基于社会学习理论的孕产妇心理保健模式构建与干预研究”(71573053);国家社科基金重大项目“超特大城市脆弱人群健康管理社会支持体系研究”(17ZDA078);昆山市社区卫生服务管理中心项目“昆山市基本公共卫生服务项目实施评价”;国家“十二五”科技支撑子项目“高血压慢病基层规范化防治适宜技术研究、评价与推广”(2014BAI08B01)

摘　　要：目的:分析我国基本公共卫生服务项目实施过程中的偏差,探索防止以及纠正偏差的思路。方法:基于世界银行提出的结果链模型,对基本公共卫生服务项目目标进行界定,并围绕活动设计的总原则对现实活动开展中存在的实施偏差进行分析。结果:现阶段我国基本公共卫生服务实施过程中常见问题包括:活动设计未围绕服务目的、活动设计不完整、活动超过机构能力等。结论:为保障政策目标的实现,项目的活动设计必须以目标为导向,遵循相关性、完整性等原则,在合理设计活动的基础上,进一步构建完善筹资机制、评价机制等,以防止出现偏差、发现并纠正偏差。Objective To analyze the deviations in the implementation of basic public health services in China,and explore ways to prevent and correct deviations.Methods Based on the result chain model proposed by the World Bank,the objectives of basic public health service projects were defined,and the implementation deviations in actual activities were analyzed according to the general principles of activity design.Results The common problems in the implementation of basic public health services in China at this stage include:the design of activities does not focus on the purpose of services,the design of activities is incomplete,and the activities exceed the institutional capacity.Conclusion In order to ensure the realization of policy objectives,the project activity design must be goal-oriented,follow the principles of relevance and integrity,constructing and improving the financing mechanism and evaluation mechanism on the basis of rational design activities,so as to prevent deviations,detect and correct deviations.

关 键 词：基本公共卫生服务 结果链 偏差 

分 类 号：R197[医药卫生—卫生事业管理]