WHO所属成员国卫生系统绩效评估(PDF 29页)

目录
Content
Less Resources, More Outcomes . 4
1. Summary  4
2. Introduction . 5
3. Key Terminology . 5
4. Choosing output metrics for measuring health care system 5
4.1 Goals of Health Care System  6
4.2 Characteristics of a good health care system  6
4.3 Output metrics for measuring health care system . 6
5. Determining the weight of the metrics and data processing . 8
5.1 Weights from statistical data . 8
5.2 Data processing . 9
6. Input and Output of Health Care System . 9
6.1 Aspects of Input . 10
6.2 Aspects of Output  11
7. Evaluation System I : Absolute Effectiveness of HCS  11
7.1Background . 11
7.2Assumptions  11
7.3Two approaches for evaluation  11
1. Approach A : Weighted Average Evaluation Based Model  11
2. Approach B: Fuzzy Comprehensive Evaluation Based Model [19][20] . 12
7.4 Applying the Evaluation of Absolute Effectiveness Method  14
8. Evaluation system II: Relative Effectiveness of HCS . 16
8.1 Only output doesn’t work  16
8.2 Assumptions . 16
8.3 Constructing the Model . 16
8.4 Applying the Evaluation of Relative Effectiveness Method  17
9. EAE VS ERE: which is better?  17
9.1 USA VS Norway  18
9.2 USA VS Pakistan . 18
10. Less Resources, more outcomes . 19
10.1Multiple Logistic Regression Model  19
10.1.1 Output as function of Input . 19
10.1.2Assumptions . 19
10.1.3Constructing the model 19
10.1.4. Estimation of parameters  20
10.1.5How the six metrics influence the outcomes?  20
10.2 Taking USA into consideration . 22
10.2.1Assumptions . 22
10.2.2 Allocation Coefficient. 22
10.3 Scenario 1: Less expenditure to achieve the same goal . 24
10.3.1 Objective function ： . 24
10.3.2 Constraints  25
10.3.3 Optimization model 1 . 25
10.3.4 Solutions of the model  25
10.4. Scenario2: More outcomes with the same expenditure . 26
10.4.1Objective function  26
10.4.2Constraints . 26
10.4.3 Optimization model 2 . 26
10.4.4Solutions to the model . 27
15. Strengths and Weaknesses  27
Strengths  27
Weaknesses . 27
16. References  28

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