国际卫生系统绩效评价框架的特点及启示

卫生系统绩效改进是各国卫生事业发展的优先事项。通过总结世界卫生组织、经济合作与发展组织、世界银行等国际组织,以及英国、美国、荷兰等典型国家的卫生系统绩效评价框架特点,为我国开展相关工作提供参考。卫生系统绩效评价框架的构建多参考投入产出模型和健康决定因素模型。卫生系统绩效评价框架呈现多元化、综合化发展趋势,且随着卫生发展阶段的不同而不断更新完善。各国卫生系统绩效评价框架有其自身特点,但也存在一定的规律性。卫生系统绩效评价框架应及时反映本国卫生发展的变化和国际理念的更新;完善数据信息系统,建立公开透明的卫生系统绩效评价动态监测机制;充分发挥卫生系统绩效评价的工具作用,有效推进卫生体系改革。

Characteristics of international health system performance evaluation frameworks and their implications for china

Health system performance improvement isregarded in various countriesas the priority in developing health services. This paper summarizes the characteristics of health system performance evaluation frameworks adopted by international organizations and different countries with typical health systems, such as the World Health Organization, the Organization for Economic Cooperation and Development, the World Bank, the United Kingdom, the United States and the Netherlands, in order to provide references to carry out related workin China. The Health Determinants Model and Input-Output Model are the main approaches used to construct health system performance evaluation frameworks. Current health system evaluation frameworks show a diversified and comprehensive trend, and are constantly updated and improved based on different health development statuses. Health system evaluation frameworksvary from country to country, but they also have certain regularities.Health system evaluation frameworks should reflect the changes in national health development and the updates of international conceptsin a timely manner,improve the information system, establishan open and transparent health monitoring mechanism of dynamic health system performance, and make full use of health system performance evaluation tools in order to effectively promote health system reform.