我国深化医药卫生体制改革考核指标体系研究综述  

A review of researches on assessment index system of deepening medical health reform in China

作　　者：黄广成 张远妮 朱宏 邹俐爱[2,3] 欧嘉新[1] 邱恒 HUANG Guang-cheng;ZHANG Yuan-ne;ZHU Hong;ZOU Li-ai;OU Jia-xin;QIU Heng(Health Management School of Southern Medical University,Guangzhou Guangdong 510515,China;Southern Hospital of Southern Medical University,Guangzhou Guangdong 510515,China;Health Management Research Institution of Southern Medical University,Guangzhou Guangdong 510515,China)

机构地区：[1]南方医科大学卫生管理学院,广东广州510515 [2]南方医科大学南方医院,广东广州510515 [3]南方医科大学卫生与健康管理研究院,广东广州510515

出　　处：《卫生软科学》2021年第5期11-14,共4页Soft Science of Health

基　　金：广东省卫生经济学会2019年科研项目立项-医改十年背景下广东省城市公立医院综合改革成效评价(2019-WJZD-08)。

摘　　要：[目的]分析并总结新医改方案推出以来的医改综合评价相关的指标体系构建方法、理论框架和指标的选择导向,为政府深化医改评估工作提供科学、系统和导向性良好的参考依据。[方法]对2010-2020年CNKI数据库收录的医改考核相关文献采用文献计量学、系统综述法、聚类分析等方法进行分析研究,梳理我国深化医改考核评价指标体系的构建策略。[结果]各项研究构建的指标体系均为三级指标体系,且采用不同的主客观方法进行指标筛选流程;指标权重设置的方法主要包组合权重法、因子分析法和层次分析法。[结论]我国深化医药卫生体制改革考核指标体系的科学性、统一性有待提高,易操作性、综合性不够,应注重发展适用于不同省际、不同地市、不同区域的综合医改指标体系。Objective To analyze and summarize the index system construction methods, theoretical frameworks and indicator selection guidance related to comprehensive evaluation of medical reform since the introduction of new medical reform plan so as to provide scientific, systematic and well-oriented reference basis for government deepening the evaluation of medical reform. Methods Through the use of bibliometrics, systematic review methods, cluster analysis and other research methods on the medical reform assessment documents included in CNKI database from 2010 to 2020, combined with the relevant policy documents of medical reform, we sorted out construction strategies for deepening assessment and evaluation index system of medical reform in China. Results The index system constructed by each study that was three-level index system, and different subjective and objective methods were used for the index selection process;the index weight setting methods mainly included combination weight method, factor analysis method and analytic hierarchy process. Conclusions The scientificity and unity of assessment index system of deepening medical health reform in China need to be improved, it is insufficient in operational ease and comprehensiveness, we should pay more attention to comprehensive medical reform index system which is appropriate for different inter-provinces, cities and regions.

关 键 词：医改 考核 评价 指标体系 

分 类 号：R-3[医药卫生] R-1