The comprehensive evaluation of primary healthcare in China's new era:Index construction and empirical analysis
10.3969/j.issn.1674-2982.2025.06.003
- VernacularTitle:新时代我国基层卫生健康综合评价:指数构建与实证研究
- Author:
Yan-qing MIAO
1
;
Pei-lin WU
;
Wen-jing CHEN
;
Hong-ming ZHU
Author Information
1. 国家卫生健康委卫生发展研究中心 北京 100191
- Publication Type:Journal Article
- Keywords:
Primary Health Development Index;
Comprehensive evaluation;
Hybrid weighting method
- From:
Chinese Journal of Health Policy
2025;18(6):18-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the Primary Health Development Index(PHDI)and measure the performance of primary health care development in China.Methods:The PHDI was established through expert consultation.The indicator weights were determined using a comprehensive weighting method.Spatial autocorrelation and regional disparities in PHDI were analyzed using Moran's I and Theil indices.Results:(1)The PHDI framework comprises three dimensions—public accountability,health resources,and integrated services—covering 14 indicators.(2)The PHDI exhibited sustained growth,increasing from 70.46 in 2018 to 83.02 in 2022,with an average annual growth rate of 4.19%.(3)Spatial clustering of PHDI was observed,where provinces with high(low)scores neighbored provinces with similarly high(low)scores,though this positive spatial correlation gradually weakened.(4)Regional disparities in primary health care development showed continuous narrowing,with intra-regional differences dominating overall disparities.Intra-regional variations exhibited as"Eastern＞Western＞Central".Conclusions and suggestions:China's primary health care system has made rapid progress,with a growing trend toward more equitable access.However,disparities within regions persist.It is recommended to routinize and institutionalize the monitoring and evaluation of primary health care development indicators,enhance evidence-based policy implementation,strengthen inter-provincial collaboration within regions,and promote coordinated resource allocation to support balanced development.
