Centre for Health Systems, Department of Preventive and Social Medicine, University of Otago, Adams Building, Frederick Street, PO Box 913, Dunedin 9054, New Zealand.
Health Policy. 2011 Dec;103(2-3):200-8. doi: 10.1016/j.healthpol.2011.05.016. Epub 2011 Jul 1.
To develop a national scorecard for assessing health system performance derived from routine data.
We drew upon national and international data to develop benchmarks for health system performance, then applied basic ratio scores to compare New Zealand performances to the benchmark. 64 indicators were included in four assessment categories: healthy lives, quality, access, and efficiency. In a fifth category, 27 of these indicators were used to score health system equity. Indicator scores in each category were then averaged to give a health system score out of 100.
New Zealand's health system achieved an overall score of 71 out of 100. The system scored relatively well on quality and efficiency, but poorly on equity despite considerable government investment in reducing inequalities.
The scorecard offers a useful method for combining a range of data to give an overall picture of health system performance, highlighting strengths, weaknesses and areas for improvement. This initial study provides a baseline for assessing New Zealand's performance over time and, where data permit, a template for other countries to follow.
开发一种源自常规数据的国家健康体系绩效评分卡。
我们参考了国内外数据，制定了健康体系绩效基准，并应用基本比率得分来比较新西兰与基准的表现。四个评估类别中包含了 64 个指标：健康生活、质量、可及性和效率。在第五个类别中，27 个指标用于评分健康体系公平性。然后，每个类别中的指标得分平均，得出 100 分制的健康体系得分。
新西兰的健康体系总体得分为 71 分。该体系在质量和效率方面得分相对较高，但在公平性方面得分较低，尽管政府在减少不平等方面投入了大量资金。
评分卡提供了一种有用的方法，可以结合多种数据，全面了解健康体系的绩效，突出优势、劣势和改进领域。这项初步研究为评估新西兰随着时间的推移的表现提供了一个基线，并且在数据允许的情况下，为其他国家提供了一个可供效仿的模板。
