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目的为如何评价新农合不同管理模式的管理效果建立一套较为科学的评价指标体系。方法通过文献复习,初步筛选出新农合管理效果评价指标,进一步通过两轮Delphi法对指标进行必要性评价,建立一级指标和二级指标,进而运用多维度效用理论计算一级指标下各类指标的权重得分。结果初拟出涉及管理效果评价的指标共8个,经过两轮专家咨询,最终建立了包含4个一级指标(理赔率、新农合基金管理是否规范、新农合信息是否公开、对定点医疗机构的监管)和9个二级指标的评价指标体系,以及一级指标的权重系数和二级指标的具体评分标准。结论本研究初步建立了新农合管理效果评价指标体系,为下一步开展不同模式间的效果评价提供了基础。
Objective To establish a set of more scientific evaluation index system for evaluating the management effect of different management modes of NCMS. Methods Through reviewing the literature, we initially screened out the evaluation index of the new rural cooperative medical management effect, further evaluated the necessity of the index through two rounds of Delphi method, established the first-level index and the second-level index, and then used the multi-dimensional utility theory to calculate the first- The weighted index of the class index. Results A total of eight indicators related to management effectiveness evaluation were proposed. After two rounds of consultation with experts, four levels of indicators (settlement rate, NRCMS standardization, NCMS information disclosure, Medical institutions supervision) and nine secondary indicators of the evaluation index system, as well as the first-level indicators of the weight coefficient and the second-level indicators of the specific grading standards. Conclusion The research initially established the evaluation index system of NCMS management effectiveness and provided the basis for the next step in evaluating the effectiveness of different modes.