中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2013年
8期
565-570
,共6页
赵红%王小合%钱宇%苏晓培%张双竹%应心
趙紅%王小閤%錢宇%囌曉培%張雙竹%應心
조홍%왕소합%전우%소효배%장쌍죽%응심
城乡%基本医疗卫生服务%均等化%评价指标%实证分析
城鄉%基本醫療衛生服務%均等化%評價指標%實證分析
성향%기본의료위생복무%균등화%평개지표%실증분석
Urban and rural areas%Basic medical and health service%Equalization%Assessment indicator%Empirical analysis
目的 构建城乡基本医疗卫生服务均等化评价理论系统模型及指标体系,为推进建立覆盖城乡居民的基本医疗卫生制度建设提供理论及实证依据.方法 采用综合文献分析法、Delphi法构建评价指标与模型,运用极值标化、医疗资源地理分摊、Gini系数等方法对东部某省会H市进行实证检验分析.结果 构建了包括机会、过程、结果3个维度,政府筹资、资源配置、服务可及性等7个二级和27个三级城乡基本医疗卫生服务均等化评价指标体系.经计算,2010年H市城乡区域指标总均值为63.53,城乡均值分别为74.75、45.58.结论 评价指标注重基本公共卫生与基本医疗服务、服务供给与需求、服务数量与质量的结合,为探究城乡基本医疗卫生服务均等化评价及政策制定者提供参考和借鉴.
目的 構建城鄉基本醫療衛生服務均等化評價理論繫統模型及指標體繫,為推進建立覆蓋城鄉居民的基本醫療衛生製度建設提供理論及實證依據.方法 採用綜閤文獻分析法、Delphi法構建評價指標與模型,運用極值標化、醫療資源地理分攤、Gini繫數等方法對東部某省會H市進行實證檢驗分析.結果 構建瞭包括機會、過程、結果3箇維度,政府籌資、資源配置、服務可及性等7箇二級和27箇三級城鄉基本醫療衛生服務均等化評價指標體繫.經計算,2010年H市城鄉區域指標總均值為63.53,城鄉均值分彆為74.75、45.58.結論 評價指標註重基本公共衛生與基本醫療服務、服務供給與需求、服務數量與質量的結閤,為探究城鄉基本醫療衛生服務均等化評價及政策製定者提供參攷和藉鑒.
목적 구건성향기본의료위생복무균등화평개이론계통모형급지표체계,위추진건립복개성향거민적기본의료위생제도건설제공이론급실증의거.방법 채용종합문헌분석법、Delphi법구건평개지표여모형,운용겁치표화、의료자원지리분탄、Gini계수등방법대동부모성회H시진행실증검험분석.결과 구건료포괄궤회、과정、결과3개유도,정부주자、자원배치、복무가급성등7개이급화27개삼급성향기본의료위생복무균등화평개지표체계.경계산,2010년H시성향구역지표총균치위63.53,성향균치분별위74.75、45.58.결론 평개지표주중기본공공위생여기본의료복무、복무공급여수구、복무수량여질량적결합,위탐구성향기본의료위생복무균등화평개급정책제정자제공삼고화차감.
Objective To build the theoretical system model and research assessment indicators for equalization of basic medical and health services of both urban and rural residents.This aims at providing a theoretical and empirical basis for advancing basic medical health system covering rural and urban residents.Methods Literature research and Delphi expert consultation are used to build the indicator model and structure.The extremal standard method,health resources sharing by geography method,Gini coefficient method and other statistical analysis were used for an empirical analysis and test in an eastern provincial capital city.Results The indicator system comprises three dimensions of opportunity,process and result,as well as seven second-level indicators of health financing,resource allocation,accessibility etc.and twenty-seven third-level indicators.The grand mean value of the urban and rural regional indicators for H city in 2010 was calculated as 63.53,while the mean values for urban and rural were 74.75 and 45.58 respectively.Conclusion The assessment indicators focus on three combinations:basic public health services and basic medical services,service supply and demand,as well as the number and quality of services.This approach can help with the assessment of equalization of basic medical and health service for urban and rural areas and policy making.
