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中国医疗体系的绩效评估。

Performance Evaluation of the Chinese Healthcare System.

机构信息

School of Economics and Management, East China Jiaotong University, Nanchang 330013, China.

ISCAL-Instituto Superior de Contabilidade e Administração de Lisboa, Instituto Politécnico de Lisboa, Avenida Miguel Bombarda 20, 1069-035 Lisboa, Portugal.

出版信息

Int J Environ Res Public Health. 2021 May 13;18(10):5193. doi: 10.3390/ijerph18105193.

DOI:10.3390/ijerph18105193
PMID:34068324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8153293/
Abstract

This study aims to evaluate the performance of the Chinese healthcare system. It uses sustainable development goal (SDG) 3, set by the United Nations to ensure healthy lives and promote well-being for all at all ages as a benchmark. It uses data of 17 variables ranging from the year 2000 to 2017 and uses a multistage methodology to evaluate the performance. In the first stage, it uses difference in mean test to know whether or not the indicators show an improvement in the second decade of the 21st century compared to the first decade. In the second phase, simple linear regression has been used to know the rate of change of performance of every indicator over the sample period. The third step compares the performance of the healthcare sector with the sustainable goals set by the UN and the fourth phase attempts to forecast performance for the next five years i.e., 2018 to 2022. As per the results, the Chinese healthcare sector has performed very well on many fronts except alcohol consumption in males, road accidents and the incidence of non-communicable diseases. Alcohol consumption by males is touching dangerous levels. Therefore, the policies should focus on educating males to lower their alcohol consumption to stay fit and healthy.

摘要

本研究旨在评估中国医疗体系的表现。它以联合国制定的可持续发展目标 3(确保所有人在任何年龄都能享有健康的生活并促进福祉)为基准,使用了 2000 年至 2017 年的 17 个变量的数据,并采用多阶段方法来评估表现。在第一阶段,它使用均值差异检验来了解指标在 21 世纪第二个十年是否比第一个十年有所改善。在第二阶段,使用简单线性回归来了解每个指标在样本期间的表现变化率。第三步是将医疗保健部门的表现与联合国设定的可持续目标进行比较,第四步则试图预测未来五年(2018 年至 2022 年)的表现。根据结果,中国医疗保健部门在许多方面表现出色,除了男性的酒精消费、道路交通事故和非传染性疾病的发病率。男性的酒精消费已经达到危险水平。因此,政策应该侧重于教育男性降低酒精消费,以保持健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/d88fcb6c56a4/ijerph-18-05193-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/95ae60510d80/ijerph-18-05193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/8ef00d7dbda8/ijerph-18-05193-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/3befcd940139/ijerph-18-05193-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/43905dee3ad4/ijerph-18-05193-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/1294aac2f64f/ijerph-18-05193-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/60f5565f5322/ijerph-18-05193-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/d88fcb6c56a4/ijerph-18-05193-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/95ae60510d80/ijerph-18-05193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/8ef00d7dbda8/ijerph-18-05193-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/3befcd940139/ijerph-18-05193-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/43905dee3ad4/ijerph-18-05193-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/1294aac2f64f/ijerph-18-05193-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/60f5565f5322/ijerph-18-05193-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/8153293/d88fcb6c56a4/ijerph-18-05193-g007.jpg

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本文引用的文献

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China's health-care reform: an independent evaluation.中国的医疗改革:一项独立评估。
Lancet. 2019 Sep 28;394(10204):1113. doi: 10.1016/S0140-6736(19)32210-X.
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Primary healthcare system performance in low-income and middle-income countries: a scoping review of the evidence from 2010 to 2017.低收入和中等收入国家的初级卫生保健系统绩效:对2010年至2017年证据的范围审查
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What can we learn from China's health system reform?我们能从中国的医疗卫生体制改革中学到什么?
BMJ. 2019 Jun 19;365:l2349. doi: 10.1136/bmj.l2349.
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Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017.衡量 1990 年至 2017 年期间的进展情况,并预测 195 个国家和地区在 2030 年实现与健康相关的可持续发展目标的情况:基于 2017 年全球疾病负担研究的系统分析。
Lancet. 2018 Nov 10;392(10159):2091-2138. doi: 10.1016/S0140-6736(18)32281-5. Epub 2018 Nov 8.
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Efficiency Analysis of Healthcare System in Lebanon Using Modified Data Envelopment Analysis.运用修正数据包络分析法分析黎巴嫩医疗体系的效率。
J Healthc Eng. 2018 Jul 2;2018:2060138. doi: 10.1155/2018/2060138. eCollection 2018.
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A review of the Australian healthcare system: A policy perspective.澳大利亚医疗体系综述:政策视角
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