基于熵权TOPSIS和RSR法的安徽省基层卫生健康综合试验区建设效果评价OA
Evaluation of the Effectiveness of Anhui Province's Comprehensive Pilot Zone Construction for Primary Health Care Based on Entropy Weighted TOPSIS and RSR Method
目的:综合评价2024年安徽省基层卫生健康综合试验区建设效果,分析区域差异及关键影响因素,为我国基层医疗卫生服务体系建设提供参考、建议.方法:选取安徽省6个基层卫生健康综合试验区为样本,构建包含6个维度的评价指标体系,通过熵权TOPSIS法确定指标客观权重,采用TOPSIS法与秩和比法模糊联合进行综合评价.结果:评价指标体系中权重排名靠前的指标是中医门急诊人次(11.53％)、每千人口人均基本建设投入(9.86％)、每千常住人口基层卫生人员数(8.75％)和基层医疗卫生机构诊疗量占比(6.84％).模糊联合评价结果中濉溪县(国家级试验区)建设效果最优,泗县次之,且皖北地区整体优于皖南地区.结论:安徽省试验区建设效果呈现显著区域不平衡,核心制约为政府财政投入、基层卫生人才配置及中医药服务能力,需实施分层发展策略:国家级试验区聚焦机制创新,省级试验区强化人才激励与精准投入;同时优先保障中医药服务、基层诊疗量提升,并针对性缩小区域差距.
Objective To comprehensively evaluate the effectiveness of Anhui Province Grassroots Health and Wellness Com-prehensive Pilot Zone construction in 2024,analyze regional differences and its key influencing factors,and provide references and suggestions for the construction of China's grassroots medical and health service system.Methods Six grassroots health and wellness comprehensive pilot zones in Anhui Province were selected as samples,and an evaluation indicator system comprising six dimen-sions was constructed.The objective weights of the indicators were determined using the entropy-weighted TOPSIS method,and a comprehensive evaluation was conducted using a combination of TOPSIS method and rank sum ratio fuzzy method.Results The indicators with the highest weights in the evaluation indicator system are the number of outpatient and emergency visits at tradition-al Chinese medicine clinics(11.53％),per capita basic construction investment per thousand people(9.86％),number of pri-mary healthcare workers per thousand permanent residents(8.75％),and the proportion of outpatient visits at primary healthcare institutions(6.84％).In the fuzzy joint evaluation results,Suixi County(a national pilot zone)achieved the best outcomes,fol-lowed by Sixian County,and the overall outcomes in the northern Anhui region were superior to those in the southern Anhui re-gion.Conclusion There had significant regional imbalances in the pilot zone construction in Anhui Province.The core constraints are government financial investment,allocation of grassroots health care personnel,and capacity of traditional Chinese medicine services.A tiered development strategy should be implemented,with national-level pilot zones focusing on institutional innova-tion,and provincial-level pilot zones strengthening talent incentives and targeted investment.At the same time,priority should be given to ensuring traditional Chinese medicine services and increasing the volume of grassroots medical treatment,while taking targeted measures to narrow regional gaps.
王行;杨金侠;冯璐;王心亭
安徽医科大学卫生管理学院,安徽 合肥 230032安徽医科大学卫生管理学院,安徽 合肥 230032安徽医科大学卫生管理学院,安徽 合肥 230032安徽医科大学卫生管理学院,安徽 合肥 230032
医药卫生
基层卫生健康综合试验区熵权TOPSIS法秩和比法
comprehensive pilot zone for primary health careentropy weight TOPSIS methodrank sum ratio method
《中国卫生事业管理》 2026 (2)
136-140,5
国家社会科学基金项目"将健康融入所有政策的实现路径研究"(17BGL183)
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