协同治理视域下社区中医药健康服务能力评价指标体系构建及应用OA

Objective To develop an evaluation system for community-based traditional Chinese medicine(TCM)health service capacity from the perspective of collaborative governance,identifying current challenges and offering policy recommendations.Methods Integrating the structure-process-outcome(SPO)model and Bryson's cross-sector collaboration model,an indicator pool was constructed through policy analysis,literature review,and grounded theory.The final system was determined via two rounds of Delphi expert consultation,with weights assigned using the analytic hierarchy process(AHP).Data were collected from 16 community health service institutions in Zhejiang and Anhui provinces.Weighted summation and TOPSIS methods were applied to comprehensively assess the community TCM health service capability.Results The system included 5 first-level,15 second-level,and 41 third-level indicators.Average capacity scored 62.982,strengths include leadership responsibility,collaboration willingness,and basic public health services,whereas main weaknesses lie in human resource allocation,TCM technological achievements,digital use,and staff satisfaction.Conclusions Challenges include insufficient high-quality resources,limited collaborative capacity,and regional disparities,necessitating collaborative environments,governance structures,operational processes,and constraint mitigation.