基于熵权TOPSIS法、密切值法和RSR法的安徽省三级综合公立医院医疗服务能力综合评价
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1.安徽医科大学卫生管理学院;2.安徽医科大学第二附属医院医院管理学教研室

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基金项目:

安徽省城市医联体发展现状与优化策略研究;安徽省教育厅高校哲学社会科学研究项目


Comprehensive Evaluation of Medical Service Capacity of Tertiary Comprehensive Public Hospitals in Anhui Province Based on Entropy-Weighted TOPSIS Method, Osculating Value Method and RSR Method
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College of Health Management, Anhui Medical University

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Research on the development status quo and optimization strategy of urban medical association in Anhui Province;Philosophy and Social Science Research Program for Colleges and Universities of Anhui Province Department of Education

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    摘要:

    摘要:对2022年安徽省33家三级综合公立医院医疗服务情况进行综合评价,了解医疗服务现状,探索安徽省三级综合公立医院医疗服务能力提升路径,为进一步深化公立医院改革提供科学依据。应用熵权TOPSIS法、密切值法和RSR法三种方法对安徽省33家三级综合公立医院进行综合评价,三种评价方法所得到排名结果相近,排名靠前的集中在H17、H33、H14、H7、H23、H21六家医院,排名靠后的集中在H2、H24、H6、H9、H18五家医院,且RSR法分档结果所得到的“好”“中”“差”三个等级之间差异具有统计学意义,不同级别医院间存在较大差距。可以看出安徽省大部分的三级综合公立医院医疗服务能力处于一般水平,且皖北、皖中和皖南存在区域性差异,应进一步改善就诊服务流程、合理控制医疗费用、优化卫生资源配置。

    Abstract:

    Abstract:A comprehensive evaluation of the medical service situation of 33 tertiary comprehensive public hospitals in Anhui Province in 2022 was conducted to understand the current situation of medical service, explore the path to improve the medical service capacity of tertiary comprehensive public hospitals in Anhui Province, and provide scientific basis for further deepening the reform of public hospitals. The entropy weight TOPSIS method, close value method and RSR method are applied to comprehensively evaluate 33 tertiary comprehensive public hospitals in Anhui Province. The ranking results obtained by the three evaluation methods are similar, with the top ranked ones focusing on six hospitals, namely, H17, H33, H14, H7, H23, and H21, and the bottom ranked ones focusing on five hospitals, namely, H2, H24, H6, H9, and H18, and the ranking results obtained by the RSR method are similar, with the top ranked ones focusing on five hospitals, namely, H2, H24, H6, H9, and H18, and the ranking results are similar. The difference between the three grades of "good", "medium" and "poor" obtained from the graded results of RSR method is statistically significant, and there is a large gap between hospitals of different grades. It can be seen that most of the tertiary comprehensive public hospitals in Anhui Province are at an average level of medical service capacity, and there are regional differences between northern Anhui, central Anhui and southern Anhui, which should be further improved to improve the process of consultation services, reasonably control medical costs, and optimize the allocation of health resources.

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  • 收稿日期:2023-08-01
  • 最后修改日期:2023-09-15
  • 录用日期:2023-10-19
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