我国各省及直辖市卫生系统绩效评价的研究

【作者】 蒋雯静；

【导师】 王志忠；

【作者基本信息】 中南大学 ， 统计学， 2011， 硕士

【摘要】 随着经济的快速发展,人民生活水平的提高,人们对医疗服务需求的也在不断增加,从而导致了医疗卫生费用的过快增长,医疗卫生问题已成为世界关注的焦点。卫生系统对改善人类的健康水平起着重要的作用,管理卫生系统的科学方法之一就是绩效评价。卫生绩效评价已渐渐受到重视,并在全世界范围内开始广泛使用,许多国家都在试图建立和发展其卫生系统绩效评价体系。本文首先介绍了课题研究的背景、意义、国内外情况,概述了国外几种比较有影响力的卫生系统绩效评价理论框架。接着分析了我国1978年到2009年卫生总费用的变化情况,掌握我国卫生总费用的发展状况。然后在借鉴国内外研究成果的基础上,结合我国的实际情况,遵循指标选取的原则,从疾病控制、卫生保健、医疗服务、卫生设施与人员、成本与费用这五个方面选取了36个指标,构建了一套评价各地区卫生系统绩效的指标体系。然后,以我国大陆各省份、自治区及直辖市为研究对象,从《2010中国卫生统计年鉴》和《2010中国统计年鉴》中获得样本数据,利用SPSS软件对样本数据进行因子分析,得到各地区卫生系统绩效的得分和排名。紧接着又以综合得分为依据,利用聚类分析将这些地区按卫生系统绩效的高低划分了五大类,并对这五类城市分别进行了评价。最后就改善卫生系统绩效方面提出了建议。更多还原

【Abstract】 With the rapid development of economy and the improvement of people’s living standard, the demand of medical services are also increasing, which led to the rapid growth of health costs. Medical and health problem has already become the focus of global attention. Health system plays an important role in improving human health level, performance evaluation is one of the scientific method of management of health system. Health performance evaluation has come to be taken seriously, and is extensively used all over the world. Many countries are trying to establish and develop their health system performance evaluation system.This paper first introduced the research background, the significance and domestic and international situation, then summarizes several influential international theory frame of health system performance evaluation. The paper analyzes the total health expenses, master the development situation of total health expenses. Based on the research achievements and in accordance with the actual situation in our country, following the principle of index selection the paper selects 36 indicators from five areas including disease control, health care, health services, sanitation and personnel, cost and expenses. The 36 indicators construct a new index system which is used to evaluate the regional health system performance. Then, the paper selects 31 provinces and Municipalities of Chinese mainland as the research object, and carries on factor analysis to the data of the samples obtained from "China Health Statistics Yearbook 2010" and "China Statistics Yearbook 2010" through SPSS software, it reaches the regional health system performance scores and rankings. Then based on the integrated scores, these regions are divided into five kinds through cluster analysis according to the level of health system performance, and carries on the synthetic evaluation to the five kinds of cities. Finally, the paper put forward some suggestions to improve health system performance.更多还原