安徽省J县基层医疗卫生机构运行绩效评价研究OA
Study on the performance evaluation of primary healthcare institutions in County J,Anhui Province
目的 综合评价安徽省J县基层医疗卫生机构运行绩效,为我国基层医疗卫生机构建设提供科学依据.方法 运用熵权TOPSIS法、RSR法以及二者模糊联合方法对2022-2024年安徽省J县基层医疗卫生机构运行绩效进行综合评价.结果 2024年J县基层医疗卫生机构运行绩效排名第1,Ci值为0.773 8;评价指标中权重排名前2项分别为"医疗服务收入占医疗收入的比例"(0.172 8)和"门诊人次"(0.168 5);运行绩效被评定为"优"的基层医疗卫生机构2家(18.18%),被评定为"差"的3家(27.27%),大部分基层医疗卫生机构居于中档.结论 J县基层医疗卫生机构运行绩效总体呈上升趋势,同时存在地区间差距、绩效指标间差异,需着力优化收入结构,激发内生动力,保障基层医疗卫生机构持续健康运行.
Objective Conduct a comprehensive analysis and evaluation of the operational performance of primary healthcare institutions in County J,Anhui Province,providing a scientific basis for the development of pri-mary healthcare institutions in China.Methods A comprehensive evaluation of the operational performance of primary medical and health institutions in County J,Anhui Province from 2022 to 2024 was conducted using the Entropy Weighted TOPSIS method,the RSR method,and a fuzzy hybrid approach combining both.Results In 2024,County J's primary healthcare institutions ranked first in operational performance with a Ci value of 0.7738.The top two weighted indicators were"Proportion of Medical Service Revenue in Total Medical Revenue"(0.1728)and"Annual Per Capita Outpatient Visits"(0.1685).Two institutions(18.18%)were rated"Excel-lent,"while three(27.27%)were rated"Poor,"with most institutions falling into the middle range.Conclu-sions The operational performance of primary healthcare institutions in County J shows an overall upward trend,yet regional disparities and variations in performance metrics persist.Efforts should focus on optimizing revenue structures,stimulating endogenous motivation,and ensuring the sustainable and healthy operation of primary healthcare institutions.
丁学飞;郑信;许紫文;陈任
泾县医院,安徽泾县 242500安徽医科大学卫生管理学院安徽医科大学卫生管理学院安徽医科大学卫生管理学院
医药卫生
基层医疗卫生机构运行绩效绩效评价TOPSIS法秩和比法模糊联合评价
Primary healthcare institutionsOperational performancePerformance evaluationTOPSIS methodRank-sum ratio methodFuzzy joint evaluation
《中国农村卫生事业管理》 2026 (7)
487-492,513,7
安徽省高校优秀科研创新团队项目(2023AH010036)
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