A Review and Analysis of the Performance Assessment for the Basic Public Health Services Program in China

Corresponding author: Wang Jingbo, xixi02000@163.com

DOI: 10.12201/bmr.202512.00001

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  Abstract: To promote the effective implementation of China’s Essential Public Health Services Program (EPHSP) and ensure the secure and efficient utilization of project funds, China officially initiated the performance evaluation of EPHSP in 2011. This performance evaluation has evolved through three distinct phases: initial exploration (2011–2014), steady advancement (2015–2018), and reform and enhancement (2019–present). The evaluation objectives have progressively expanded from an initial focus on fund security and service coverage to a broader emphasis on enhancing service quality, improving residents health status and sense of benefit, and facilitating the refinement of policy frameworks and the implementation of primary responsibilities. Performance evaluation has emerged as a critical instrument for strengthening project governance and optimizing resource allocation, gradually establishing a performance-driven incentive mechanism that aligns rewards with both the quantity and quality of work. This approach has effectively contributed to the continuous improvement of service quality. To further advance the high-quality development of EPHSP, future efforts should optimize the performance evaluation system, prioritize the adoption of a full-cycle performance management approach and the integration of health outcome-based indicators. Additionally, it is essential to deepen the application of information technologies to enhance the precision and efficiency of evaluations, and to innovate mechanisms for utilizing evaluation results to reinforce accountability at the local level. These measures will collectively strengthen project performance management capabilities.

  Key words: Basic Public Health Services Program; Performance management; Performance assessment, Primary health care

  Submit time: 1 December 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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