西部农村区域公共卫生绩效现状评价与改进对策研究

通过对我国西部某省3个县的现场调查,从投入、产出、结果3个维度比较分析了样本地区的公共卫生绩效,计算得到了样本地区公共卫生绩效综合评价指数:公共卫生投入水平普遍偏低;不同公共卫生项目的产出绩效参差不齐;结果绩效整体水平较高.提出了健全农村公共卫生筹资机制、建立以绩效为基础的投入机制、均衡提供基本公共卫生服务项目、加强社会各界的支持等发展农村公共卫生的策略建议.

Appraisal of the present public health performance in rural areas of west China and improvement recommendations

A field survey of three counties in a province in west China analyzed the public health performance from the dimensions of input, output and outcomes, and computed the composite evaluation indexes for public health performance of the sample areas. The indexes so obtained are as follows: Low public health input in general; gap of public health outcomes among various public health programs;generally high outcome performances. The paper proposed to improve the fund raising mechanism for rural public health, build a performance-based investment mechanism, balanced provision of primary public health services, and secure supports from all the society, in an effort to promote public health development in rural areas.