Brunet J
Rev Epidemiol Sante Publique. 1981;29(3):371-82.
In Quebec, from 1967 to 1970, a Commission on Health and Social Services studied the health system and recommended drastic changes in its organization. The evaluation of the health system process is briefly reviewed and three specific problems are used to illustrate the role of evaluation in the decision making process; these problems are the evolution of the number of general practitioners, the number of hospital beds by categories from 1970 to 1977 and the growth of health expenditures. In the second part, I use a health index, infantile mortality, to show the advantages of evaluating the health status of the population in the formulation of policies. In Quebec, from 1970 to 1977, after the implantation of a policy on perinatality by the Ministry, the infant mortality rate by 1,000 living births decreased from 20.6 to 12.4. The factors responsible for that improvement are analyzed and discussed.
1967年至1970年期间，魁北克的一个卫生与社会服务委员会对卫生系统进行了研究，并建议对其组织架构进行重大变革。本文简要回顾了卫生系统进程的评估情况，并通过三个具体问题来说明评估在决策过程中的作用；这些问题是全科医生数量的变化、1970年至1977年各类医院病床数量的变化以及卫生支出的增长情况。在第二部分中，我使用一个健康指标——婴儿死亡率，来展示在政策制定过程中评估人口健康状况的优势。在魁北克，1970年至1977年期间，在该部实施围产期政策后，每1000例活产婴儿的死亡率从20.6降至12.4。对促成这一改善的因素进行了分析和讨论。
