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中期评估
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WT5”BZ]Cooperative medical healthful system in rural area was an important measure to farmer health care in poverty area.Whether it could be operated efficiently was related not only to farmers health,but also to economic development in poverty rural area.Conducting the impact evaluation on Cooperative medical healthful system operation in 1998 in Dingxi county,Gansu province,the results showed that the Cooperative medical healthful system was operatecl...

WT5”BZ]Cooperative medical healthful system in rural area was an important measure to farmer health care in poverty area.Whether it could be operated efficiently was related not only to farmers health,but also to economic development in poverty rural area.Conducting the impact evaluation on Cooperative medical healthful system operation in 1998 in Dingxi county,Gansu province,the results showed that the Cooperative medical healthful system was operatecl well and the fund was distributed acording to the plan.Cooperative medical nealthful sgstem improved the utilization of health service and had some ability of anti risk.It also gave chances to township centers and village health room.The exiting problems were that the financing channel was single,some fund couldnt be financed on time and a few farmers couldnt get their compensation completely. [WT5”HZ]Authors address [WT5”BZ]Institute of Social Medicine and Health Policy,Shandong Medical University,Jinan,P.R.China

农村合作医疗制度是贫困地区农民健康保障的重要手段 ,能否有效运行 ,不仅关系着贫困地区农民的健康 ,也攸关于贫困地区农村的经济发展。通过对甘肃省定西县合作医疗 1998年运行情况进行中期评估 ,结果显示 :定西县合作医疗制度运行良好 ,资金分配使用基本按方案进行。合作医疗制度的实施 ,提高了农民对卫生服务的利用 ,群众受益面较高 ,有一定的抗风险能力 ,给卫生院、村卫生室的发展带来了契机。但存在着筹资渠道单一 ,部分资金没有到位 ,少数农民的补偿也未完善落实等问题。

This qualitative study adopted the method of Nominal Group Process. The members of key disciplines and managers discussed in separate groups, then the investigators found out some questions, obstacles and reasons in underway program. At last we brought forward any advices and countermeasures.

"北京市卫生重点学科项目"中期评估的定性研究采用选题小组讨论的方法和程序,分别在项目组成员和管理 人员中进行小组讨论,找到项目进行中存在的问题与障碍、产生的原因,从而提出解决问题的建议和对策。

Objective To understand the middle-term construction status of Shenzhen important key medical specialties( KMS),and by which the future developing strategies are proposed.Methods According to evaluation index and system of Shenzhen Municipal Level Key Medical Specialty/Laboratory (on trial ver- sion) they are divided into 19 grades for the second index,the total scores are 1 000.The middle-term e- valuation was developed for two years within 34 different medical specialties in Shenzhen and it was practiced on...

Objective To understand the middle-term construction status of Shenzhen important key medical specialties( KMS),and by which the future developing strategies are proposed.Methods According to evaluation index and system of Shenzhen Municipal Level Key Medical Specialty/Laboratory (on trial ver- sion) they are divided into 19 grades for the second index,the total scores are 1 000.The middle-term e- valuation was developed for two years within 34 different medical specialties in Shenzhen and it was practiced on discipline management,talent development,discipline impact,science and technology advantage,teach- ing and training,discipline basis and quality deficiency respectively.Results There were 2,12,15,4 and 1 KMS that score was≥700 (Group A),600-699 (Group B),500-599 (Group C),400-499 (Group D),<400(Group E) respectively.Therefore,the construction status of Group A and B,Group C,and Group D and E was above,near and below the target achieving standard respectively.Conclusion Middle- term evaluation on current KMS is feasible and important.Developing strategies of future KMS can refer to this scientific evaluation conclusion.

目的了解深圳市重点医学专科中期建设情况并据此制订下一步的发展战略目标。方法根据《深圳市重点医学专科(实验室)评估指标体系(试行)》(该体系有19个Ⅱ级指标,总分值1 000分),分别从学科管理、人才建设、学科影响力、科技优势、教学培训、学科条件和医疗质量7个方面对已建设了2年的34个深圳市重点医学专科和实验室进行了中期评估。结果得分在700以上(A组)、600~699分(B组)、500~599分(C组)、400~499分(D组)及400分以下(E组)的重点医学专科分别为2个、12个、15个、4个和1个;其中,A组和B组的重点医学专科取得了满意的建设结果,但D组和E组没有达标,C组还需进行整改,有望在后半个建设周期内达标。结论按上述指标体系对现有的重点医学专科建设进行中期评估是可行的。评估结果可以为重点医学专科发展战略目标的制订提供科学的指导意见。

 
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