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目的:了解政府购买农村公共卫生服务绩效合同管理政策在河南省卫Ⅺ项目县开展情况,发现可能存在的问题,为进一步完善与推广该政策提供依据。方法:利用问卷调查、深度访谈及机构调查等方法对政策的执行方向、设计、效率、公平性及回应度等进行评估。结果:试点地区,政府购买农村公共卫生服务的绩效合同管理使得农村公共卫生服务提供方的工作绩效明显提高,农村居民对公共卫生服务的可获得性增强。结论:政府购买农村公共卫生服务绩效合同管理政策的试点推进顺利,方向正确,并建立了农村公共卫生服务提供的有效激励机制。
OBJECTIVE: To understand the performance of government purchasing contract management policies for rural public health services in WEI XI project counties in Henan Province and find possible problems, so as to provide evidence for further improving and promoting this policy. Methods: Using questionnaires, in-depth interviews and institutional surveys, we evaluate the implementation direction, design, efficiency, fairness and responsiveness of the policies. Results: In the pilot areas, the performance contract management by the government purchasing rural public health services significantly improved the performance of rural public health service providers and the rural residents’ access to public health services increased. Conclusion: The pilot program of government purchasing performance management policy of rural public health service is carried out smoothly and correctly, and an effective incentive mechanism is provided for rural public health service.