基于熵权TOPSIS分析法的南宁市基本公共卫生服务综合评价
|
摘要
目的对2016年南宁市基本公共卫生服务质量进行分析,评价南宁市基本公共卫生服务工作的开展情况。方法采用分层随机抽样方法在南宁市每个区(县)随机抽取3～4家基层医疗机构进行基本公共卫生服务项目考核,并采用熵权TOPSIS分析法对南宁市11项基本公共卫生服务项目实施效果进行综合评价。结果熵权法赋权权重最高指标为健康教育,熵权值为0. 212 9,权重最低指标为居民健康档案,熵权值为0. 006 3。TOPSIS法评价显示上林县、邕宁区、武鸣县排名靠前,其Ci值与理想值1最为接近,分别为0. 917 2、0. 898 6和0. 883 0;隆安县、西乡塘区和高新区排名靠后,其Ci值与理想值1相差最远,分别为0. 573 6、0. 452 8和0. 368 4。结论南宁市基本公共卫生服务项目实施考核结果存在地区间差异和项目间差异,基于熵权TOPSIS分析法可更科学准确地评价基层公共卫生服务项目开展情况。
Objective To analyze the quality of basic public health services in Nanning City in 2016,and to appraise the implementation status of basic public health services in Nanning City. Methods A stratified random sampling method was used to select 3-4 primary medical institutions in each county(district) of Nanning City in 2016,and then the quality of basic public health services was evaluated. Entropy weight TOPSIS method was employed to comprehensively assess the implementation effects of eleven basic public health service projects in Nanning City. Results The highest weight indicator identified by entropy weight TOPSIS method was health education,and the entropy weight was 0.212,9. The lowest weight indicator was residents' health records,and the entropy weight was 0.006,3. The evaluation results based on entropy weight TOPSIS method showed that Shanglin County,Yongning District and Wuming County ranked first in the districts(counties),and their Ci values,which were 0.917,2,0.898,6 and 0. 883,0 respectively,were close to the ideal value of 1. Longan County,Xixiangtang District and Gaoxin District ranked at the bottom of the list,and their Ci values,which were 0.573,6,0.452,8 and 0.368,4 respectively,were far from the ideal value of 1. Conclusions There were regional differences and project differences in the assessment results of implementation of basic public health service projects in Nanning City in 2016. Entropy weight TOPSIS method can more scientifically and accurately evaluate the implementation status of basic public health service projects.
Objective To analyze the quality of basic public health services in Nanning City in 2016,and to appraise the implementation status of basic public health services in Nanning City. Methods A stratified random sampling method was used to select 3-4 primary medical institutions in each county(district) of Nanning City in 2016,and then the quality of basic public health services was evaluated. Entropy weight TOPSIS method was employed to comprehensively assess the implementation effects of eleven basic public health service projects in Nanning City. Results The highest weight indicator identified by entropy weight TOPSIS method was health education,and the entropy weight was 0.212,9. The lowest weight indicator was residents' health records,and the entropy weight was 0.006,3. The evaluation results based on entropy weight TOPSIS method showed that Shanglin County,Yongning District and Wuming County ranked first in the districts(counties),and their Ci values,which were 0.917,2,0.898,6 and 0. 883,0 respectively,were close to the ideal value of 1. Longan County,Xixiangtang District and Gaoxin District ranked at the bottom of the list,and their Ci values,which were 0.573,6,0.452,8 and 0.368,4 respectively,were far from the ideal value of 1. Conclusions There were regional differences and project differences in the assessment results of implementation of basic public health service projects in Nanning City in 2016. Entropy weight TOPSIS method can more scientifically and accurately evaluate the implementation status of basic public health service projects.
引文
[1]曹学龙,李纯颖,高永根,等.湖南某县农村基本公共卫生服务实施现状评价[J].实用预防医学,2017,24(1):753-756.
[2]孙振球.医学统计学[M].第2版.北京:人民卫生出版社,2006:156-167.
[3]黄巧娱,赖伏虎,贺敬波,等.用加权TOPSIS法对基层医院科研教学质量进行综合分析[J].中国卫生统计,2011,28(1):61-62.
[4]周娜,刘金宝,文国新,等. TOPSIS法与综合指数法对乌鲁木齐市米东区农村地区健康相关指数的评价[J].中国卫生统计,2016,33(2):282-284.
[5]练兰英,李中楠,刘加冬.层次分析法结合TOPSIS法在采矿方法优选中的应用[J].现代矿业,2016,33(1):11-13.
[6]张南,李建文,姜小明,等.某院医疗中心整合TOPSIS法的效果评价[J].解放军医院管理杂志,2016,23(5):403-404,426.
[7]任礼,任山,李章. TOPSIS法在基本公共卫生服务质量综合评价中的应用[J].实用预防医学,2014,21(2):253-254.
[8]刘延伟,王健,孟庆跃.基本公共卫生服务均等化差异性分析及其实现路径研究综述[J].卫生软科学,2012,26(6):503-505.
[9]吴洪涛,孙广宁,陈秀芝,等.国家基本公共卫生服务项目执行情况综合评价[J].中国公共卫生,2014,30(6):715-717.
[2]孙振球.医学统计学[M].第2版.北京:人民卫生出版社,2006:156-167.
[3]黄巧娱,赖伏虎,贺敬波,等.用加权TOPSIS法对基层医院科研教学质量进行综合分析[J].中国卫生统计,2011,28(1):61-62.
[4]周娜,刘金宝,文国新,等. TOPSIS法与综合指数法对乌鲁木齐市米东区农村地区健康相关指数的评价[J].中国卫生统计,2016,33(2):282-284.
[5]练兰英,李中楠,刘加冬.层次分析法结合TOPSIS法在采矿方法优选中的应用[J].现代矿业,2016,33(1):11-13.
[6]张南,李建文,姜小明,等.某院医疗中心整合TOPSIS法的效果评价[J].解放军医院管理杂志,2016,23(5):403-404,426.
[7]任礼,任山,李章. TOPSIS法在基本公共卫生服务质量综合评价中的应用[J].实用预防医学,2014,21(2):253-254.
[8]刘延伟,王健,孟庆跃.基本公共卫生服务均等化差异性分析及其实现路径研究综述[J].卫生软科学,2012,26(6):503-505.
[9]吴洪涛,孙广宁,陈秀芝,等.国家基本公共卫生服务项目执行情况综合评价[J].中国公共卫生,2014,30(6):715-717.