基于加权秩和比法的麻城市乡镇卫生院服务能力综合评价  

Comprehensively evaluating the capacity of health service in township health centers of Macheng City based on weighted rank-sum ratio method

作　　者：金晶[1,2] 张研[1,2] 刘文俊[1,2] 彭凯[1,2] 张亮[1,2] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]湖北省人文社科重点研究基地农村健康服务研究中心

出　　处：《中国卫生事业管理》2016年第4期264-266,295,共4页Chinese Health Service Management

基　　金：国家自然科学基金"基于CAS理论的农村医疗服务纵向整合管理模型研究"(编号:71273099);美国中华医学基金会"Integrated Rural Healthcare Services"(编号:11-069)

摘　　要：目的:综合评价麻城市18所乡镇/街道卫生院卫生服务能力,了解麻城市各卫生院服务能力现状,为相关部门针对性的指定政策提供依据。方法:运用秩和比法计算各指标权重系数,运用加权秩和比法评价各机构综合服务能力。结果:麻城市18家卫生院综合服务能力可以分为三类:能力一般的有11所(61.1%)、较好的有4所(22.2%)、较差的有3所(16.7%),服务能力总体分布合理。结论:其他机构的辐射作用、高城镇化率均造成了街道卫生院综合能力欠佳;麻城市18所乡镇/街道卫生院面临的问题各有差异,对于不同乡镇卫生院,其服务能力提高的策略应有所区别。Objective To comprehensively evaluate the capacity of health service in township health centers of Macheng City, and provide references for policy-making. Methods Weight coefficient of each indexes was calculated by rank-sum ratio method （RSR）. And the comprehensive capacity of health institutions was evaluated by weighted rank-sum ratio method（WRSR）. Results The 18 cases of township health centers of Macheng City can be divided into three categories, in which 11 cases were in general, 11 cases were better,and 3 cases were worse, with overall reasonable distribution. Conclusion The poor capacity of health service in township health centers was resulted from the radiation effects of other agencies and high urbanization rate. The different problems in 18 cases of township health centers of Macheng City need to be solved by different strategies.

关 键 词：乡镇卫生院 卫生服务能力 综合评价 秩和比法 加权秩和比法 

分 类 号：R197.62[医药卫生—卫生事业管理]