Scuola Superiore Sant'Anna, Istituto di Management, Laboratorio Management e Sanità, Piazza Martiri della Libertà, 24-56127 Pisa, Italy.
Int J Qual Health Care. 2012 Aug;24(4):403-10. doi: 10.1093/intqhc/mzs032. Epub 2012 Jun 11.
Regional healthcare performance evaluation systems can help optimize healthcare resources on regional basis and improve the performance of healthcare services provided. The Tuscany region in Italy is a good example of an institution which meets these requirements. China has yet to build such a system based on international experience. In this paper, based on comparative studies between Tuscany and China, we propose that the managing institutions in China's experimental cities can select and commission a third-party agency to, respectively, evaluate the performance of their affiliated hospitals and community health service centers. Following some features of the Tuscan experience, the Chinese municipal healthcare performance evaluation system can be built by focusing on the selection of an appropriate performance evaluation agency, the design of an adequate performance evaluation mechanism and the formulation of a complete set of laws, rules and regulations. When a performance evaluation system at city level is formed, the provincial government can extend the successful experience to other cities.
区域医疗绩效评价体系有助于在区域层面优化医疗资源配置，提升医疗服务绩效。意大利托斯卡纳大区是符合这些要求的典范。中国尚未基于国际经验建立这样的体系。本文通过对托斯卡纳大区和中国的比较研究，提出中国试验区的管理机构可以分别选择和委托第三方机构对所属医院和社区卫生服务中心的绩效进行评价。借鉴托斯卡纳经验的一些特点，中国市级医疗绩效评价体系可通过关注选择合适的绩效评价机构、设计充分的绩效评价机制和制定一整套法律法规来构建。当市级绩效评价体系形成后，省政府可以将成功经验推广到其他城市。
