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赵鹏宇, 尤莉莉, 刘远立. 基于Donabedian质量理论国家基本公共卫生服务项目实施效果评价[J]. 中国公共卫生, 2020, 36(5): 814-818. DOI: 10.11847/zgggws1126158
引用本文: 赵鹏宇, 尤莉莉, 刘远立. 基于Donabedian质量理论国家基本公共卫生服务项目实施效果评价[J]. 中国公共卫生, 2020, 36(5): 814-818. DOI: 10.11847/zgggws1126158
Peng-yu ZHAO, Li-li YOU, Yuan-li LIU. Effectiveness of Basic Public Health Services Project in China: a Donabedian theory-based evaluation[J]. Chinese Journal of Public Health, 2020, 36(5): 814-818. DOI: 10.11847/zgggws1126158
Citation: Peng-yu ZHAO, Li-li YOU, Yuan-li LIU. Effectiveness of Basic Public Health Services Project in China: a Donabedian theory-based evaluation[J]. Chinese Journal of Public Health, 2020, 36(5): 814-818. DOI: 10.11847/zgggws1126158

基于Donabedian质量理论国家基本公共卫生服务项目实施效果评价

Effectiveness of Basic Public Health Services Project in China: a Donabedian theory-based evaluation

  • 摘要:
      目的  评价国家基本公共卫生服务项目的实施效果,为基本公共卫生服务项目的可持续发展与实施提供循证依据与政策建议。
      方法  以Donabedian质量理论为理论框架,从结构、过程、结果3个维度对中国2009 — 2019年公开发表的研究报告和现场定性访谈中基本公共卫生服务项目的实施效果进行综合评价。
      结果  中国基本公共卫生服务体系逐步建立,筹资水平与服务内容不断提升,绩效考核机制不断完善,人民健康水平有所改善,城乡健康差距不断缩小,基层服务能力有所提升;但服务项目的动态调整机制尚未建立,“医防两张皮”现象普遍,基层信息化水平仍需提高。
      结论  国家基本公共卫生服务项目取得了明显的成效,但在服务项目调整机制、医防融合及信息化建设等方面仍需改进。

     

    Abstract:
      Objective  To evaluate implementation effect of Basic Public Health Services (BPHS) across China and to provide evidences and policy recommendations for sustainable development and implementation of BPHS.
      Methods  We retrieved relevant reports and documents published during 2009 − 2019 and conducted qualitative on-site interviews at 21 community healthcare centers in 7 municipalities across China to collect information and data on the implementation of BPHS. Donabedian quality theory was adopted to evaluate the framework, performance and outcome of BPHS implementation.
      Results  The BPHS system has been established gradually; the financing and the medication/healthcare of BPHS have been enhanced continually; the performance evaluation mechanism has been improved constantly. During the period among Chinese residents, both health condition and healthcare level were improved; the gaps in health and medication between urban and rural residents were narrowed, while grassroots capability of BPHS was somewhat upgraded. However, the dynamic adjustment mechanism for BPHS has not been established yet; the integration of medication and disease prevention was not achieved generally and the informatization for BPHS needs to be promoted at grassroots level.
      Conclusion  The Basic Public Health Service Project has achieved prominent effects on medication and healthcare in Chinese residents but the project needs to be improved in dynamic adjustment of service contents, integration of medical treatment and prevention, and community service informatization.

     

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