军队医院医疗保障综合评价体系设计与应用  

Design and Application of Comprehensive Evaluation System in the Medical Security of Army Personnel

作　　者：邬顺全[1] 樊小玲[2] 贺佳[3] 侯俊[1] 貌盼勇[1] 

机构地区：[1]解放军第302医院临床研究管理中心,100039 [2]北京军区联勤部卫生部信息中心 [3]第二军医大学卫生统计学教研室

出　　处：《中国卫生统计》2015年第5期749-752,共4页Chinese Journal of Health Statistics

摘　　要：目的利用多种综合评价方法对某区域随机抽取的18所军队医院的医疗保障水平进行评价,同时验证四种综合评价方法的科学性和适用性。方法通过文献分析法和系统分析法确定了所要研究的指标体系的维度。通过变异系数确定各指标的权重,采用综合指数法、加权TOPSIS法、功效系数法和加权秩和比法对军队医院医疗保障水平进行综合评价。结果确定了评价指标的四个维度:保障指标、管理指标、质量指标和同病同治指标,建立了包含21个指标的评价体系。四种方法评价结果具有较高的一致性,2013年该区域医疗保障水平较好的医院编号是15、3、5,较差的医院编号是12、18、10。结论四种方法联合应用,结果可靠,应用价值较大。Objective To appreciate the level of medical security of 18 random selected military hospitals in a certain region by several comprehensive evaluation methods,and to verify the scientificity and adaptability of the four methods. Methods Determine the dimensions of the indicator system using literature analysis and systematic analysis methods. Variation coefficient was used to determine the weight,and the composite index methods,the weighted TOPSIS methods,the efficacy coefficient methods and the weighted RSR methods were used to evaluate the level of medical security of the hospitals. Results Four dimensions have been determined： indemnification,management,quality and same disease and carrying out same treatment,including 21 indicators. The evaluation Results of the four methods were with high consistency. No. 15,3 and 5 hospitals in this region had good level of medical security in 2013,and No. 12,18 and 10 had relatively poor level. Conclusion Combined use of four comprehensive evaluation methods is reliable,so it has great practical value.

关 键 词：综合评价 综合指数法 加权TOPSIS 功效系数法 加权秩和比法 

分 类 号：R82[医药卫生—临床医学]