北京市医疗保障高质量发展评估指标体系构建研究  

Research on the Construction of Medical Insurance High-Quality Development Index Evaluation System in Beijing

作　　者：赵宁 杨佳 高广颖 韩优莉[1] 孙力光[2] ZHAO Ning;YANG Jia;GAO Guang-ying;HAN You-li;SUN LI-Guang(School of Public Health,Capital Medical University,Beijing,100069,China)

机构地区：[1]首都医科大学公共卫生学院,北京100069 [2]首都医科大学,北京100069

出　　处：《中国卫生经济》2023年第4期20-24,共5页Chinese Health Economics

基　　金：北京市社会科学基金决策咨询项目(21JCB114)。

摘　　要：目的:探索构建北京市医疗保障高质量发展评估指标体系,为北京市医保发展效果的客观评价和持续改进提供参考和依据。方法:结合国家和北京“十四五”提出的医疗保障发展目标,在前期文献研究与专家座谈的基础上,经两轮德尔菲法咨询构建指标体系。结果:形成了由公平、安全、智慧、协同和价值5个一级指标、14个二级指标、21个三级指标及其权重构成的北京市医疗保障高质量发展评估指标体系。两轮咨询的专家积极系数均为100%,专家权威系数为0.70、0.79。结论:北京市医疗保障高质量发展评估指标体系具有合理性、科学性和可靠性,可为制定及实施推动医疗保障高质量发展相关政策提供借鉴。Objective:To explore the construction of medical insurance high-quality development index evaluation system in Beijing,and to provide a reference and basis for the objective evaluation and continuous improvement of the development effect of medical insurance in Beijing.Methods:The index system was determined through two rounds of Delphi consultation,based on preliminary literature research and expert discussions,taking into account the national and Beijing's"14th Five-Year Plan"medical security development goals.Results:A system of indicators for assessing the quality development of medical security in Beijing,consisting of five primary indicators14 secondary indicators and 21 tertiary indicators of equity,safety,wisdom,synergy and value and their weights,was formed.The positive coefficient of experts in both rounds of consultation was 100%,and the authority coefficient of experts was 0.70 and 0.79.Conclusion:The evaluation index system for high-quality development of medical insurance in Beijing is reasonable,scientific and reliable,which can serve as a model for the development and implementation of policies aimed at promoting high-quality medical insurance development.

关 键 词：医疗保障 高质量发展 指标体系 北京 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F840.613[经济管理—保险]