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2009年,中国政府提出了医药卫生改革发展目标:到2020年实现人人享有基本医疗卫生服务。如何评价新医改绩效既是学术问题又是实践问题,而构建一套合理、有效的科学评价指标体系尤为关键。本文旨在构建一套较为全面的绩效评价指标体系,拟将评价指标体系分为刚性指标和弹性指标两大类别,其中刚,生指标主要包括医药服务水平、各级医疗机构资源配置和基本医疗保险覆盖三大方面,而弹性指标主要通过医患关系、公众认知、健康改善状况等方面进行评价。
In 2009, the Chinese government set forth the goal of medical and health reform and development: to realize basic medical and health services for all by 2020. How to evaluate the performance of new medical reform is not only an academic issue but also a practical issue, and it is especially crucial to construct a reasonable and effective scientific evaluation index system. The purpose of this paper is to construct a set of more comprehensive performance evaluation index system, which is divided into two categories: rigid index and flexible index. Among them, the index of freshmen and students mainly includes the level of medical services, the allocation of resources of medical institutions at all levels and the basic medical Insurance coverage of three major aspects, and flexible indicators mainly through doctor-patient relationship, public awareness, health improvement status and other aspects of evaluation.