国外基本卫生服务内涵、服务包与遴选原则研究_《中国循证医学杂志》

作者：

杨莉 ¹ , 王静 ¹ , 曹志辉 ¹ , 孙佳 ¹ , 高军 ² , 许文英 ¹ ,  吴明 ¹

1. 北京大学公共卫生学院卫生政策与管理系（北京?100191）；2. 卫生部统计信息中心（北京?100044）;

关键词：

基本卫生服务服务包遴选原则系统评价

DOI：

10.7507/1672-2531.20090108

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　描述并分析各国基本卫生服务内涵、服务包内容及遴选原则。
方法　由主题专家和检索人员讨论并试验后确定检索词，共检索22个电子数据库、50个NGO及政府机构网站和搜索引擎Google，纳入全世界所有描述及评价已经实施的基本卫生服务内涵、服务包和遴选原则、实施背景、策略及效果的英文文献。用自行设计的数据提取表采集纳入文献的相关信息，而后进行描述和分析。
结果　共纳入166篇文献，其中104篇来自于中低收入国家的研究。其内容多是关于各国基本卫生服务包内容、遴选原则、实施背景与策略的描述（160篇），而涉及效果评价方面的文献极少（6篇）。评价策略的研究大部分为横断面研究（5篇），只有1篇是有干预的时间序列研究。
结论　由于各国政治、历史文化、经济背景以及政策目标的差异，基本卫生服务政策的内涵、内容和遴选原则也各不相同。基本卫生服务是各国政府根据其政治、经济和文化背景所采取的符合本国国情的公共筹资方式和实施策略，以达到人人可以公平享有的一揽子卫生服务项目。其服务包又可分为公共卫生服务和基本医疗服务两部分，其中针对常见病和多发病的基本医疗服务包随着各国社会经济发展水平的提高在不断扩大。基本卫生服务的内容需结合各国卫生体系和市场结构，以及供需双方的实际情况；同时结合复杂的财政分配体系，组织和机构特点，以及国家调控结构和能力，综合技术和社会价值两方面的考虑，来确定优先服务领域。转型国家的经验尤其值得借鉴。

引用本文： 杨莉,王静,曹志辉,孙佳,高军,许文英,吴明. 国外基本卫生服务内涵、服务包与遴选原则研究. 中国循证医学杂志, 2009, 09(6): 599-609. doi: 10.7507/1672-2531.20090108 复制

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1. Winslow CE. Man and epidemics, Princeton, New Jersey, 1952.
2. WHO. Primary health care: report of the International Conference on Primary Health Care, Alma-Ata 1978. Geneva, WHO, 1978.
3. World Bank. Investing in health: world development report 2003: New York, Oxford University Press.
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6. Tarimo E. Essential health service packages: uses, abuse and future directions. WHO, 1997.
7. Söderlund N. Possible Objectives and Resulting Entitlements of Essential Health Care Packages. Health Policy, 1998, 45(3): 195-208.
8. Ensor T, Ali L, Hossain A, et al. Projecting the cost of essential services in Bangladesh. Nt J Health Plann Mgmt, 2003, 18: 137-149.
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10. Asian Development Bank Regional and Sustainable Development Department. Scaling up health sector potential for poverty reduction: lessons from Papua new guinea with selective references to Cambodia and Sri Lanka. Paper prepared for the Conference on Up-scaling Poverty Reduction Shanghai, 25-27 May, 2004.
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12. Pan American Health Organization, Organization and management of health systems and services division of health systems and services development. Health systems and services profile of Suriname. 1st Edition, June 2002.
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14. Samvel G. health care system in transition Armenia. European Observatory on Health Care Systems, 2001, 3(11): 1020-1077.
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21. Busse R. Health care systems in eight countries: trends and challenges. European Observatory on Health Care Systems, London, 2002.
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23. Kapiriria L. Using burden of disease information for health planning in developing countries: the experience from Uganda. Social Science & Medicine, 2003, 56: 2433-2441.
24. Tragakes E, Lessof S. Health care systems in transition: Russian federation. Copenhagen, European Observatory on Health Systems and Policies, 2003, 5(3): 1-197.
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28. Russel M. Applying DALY to assessing national health insurance performance: the relationship between the national health insurance expenditures and the burden of disease measures in Iran. Int J Health Plann Mgmt, 2005, 20: 89-98.
29. Ahlam A, Muneera H, AI-Osimy RN. A study of satisfaction among primary health care patients in Saudi Arabia. Journal of Community Health, 1993, 18(3): 163-173.
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68. Government of Rwanda. Health Sector Policy. Feb, 2005.
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70. Chernichovsky D, Chinitz D. The political economy of health system reform in Israel. Health Economics, 1995, 4(2): 127-141.
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《中国循证医学杂志》

国外基本卫生服务内涵、服务包与遴选原则研究

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《中国循证医学杂志》

国外基本卫生服务内涵、服务包与遴选原则研究

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