基于TOPSIS法和RSR法的长春市某区基层医疗卫生服务质量评价  

Evaluation of Primary Medical and Health Service Quality in a Community of Changchun City Based on TOPSIS and RSR Methods

作　　者：马天娇[1] 李晶华[1] 张莉[1] 张瑞洁 张倩[1] Ma Tianjiao(Tongji Hospital, Tongji Medical College, HUST, Wuhan, 430030)

机构地区：[1]吉林大学公共卫生学院,长春130021

出　　处：《医学与社会》2019年第3期49-52,共4页Medicine and Society

基　　金：吉林省卫生计生委项目"长春市基层卫生家庭医生签约服务模式效果评价研究";编号为2017G013;吉林省科技发展计划项目"基层卫生供给侧结构改革下的吉林省家庭医生创新服务模式构建研究";编号为20180418141FG

摘　　要：目的:了解长春市某区基层医务人员对医疗卫生服务质量的评价,分析基层医疗卫生机构存在的问题。方法:采用TOPSIS法和RSR法,对长春市某区9家社区卫生服务中心(A-I)、2家乡镇卫生院(J、K)进行基层医疗服务质量评价。结果:TOPSIS法评价中,基层医疗卫生服务质量排名最好的是H,最差的是K。RSR法评价分档结果显示,K为差档(Probit<4),J、H为优档(Probit>6),其余为中档(4≤Probit<6)。结论:TOPSIS法和RSR法结合可以较好地评价基层医疗卫生服务质量,各基层医疗卫生机构的医疗卫生服务质量存在差异,基层医疗卫生服务首诊和连续性指标数值有待提升。Objective: To understand the evaluation of primary medical and health service quality by the medical staff in Changchun City, analyze the problems existing in the basic level medical and health institutions, and explore ways to improve the quality of primary medical and health service. Methods: The TOPSIS and RSR methods were used to evaluate the quality of primary medical and health service in 9 community health service centers (A-I) and 2 township hospitals(J, K)in Changchun. Results: In TOPSIS method, H community health service centerranked the best and K community health service center ranked the worst. The results of RSR methodhowed that K was poor (Probit<4), J and H were excellent (Probit>6), and the others were middle (4<Probit<6). Conclusion: The combination of TOPSIS and RSR methods can better evaluate the quality of primary medical and health service. There are differences in the quality of medical services among primary health care institutions. The primary medical and health service need to improve the first diagnosis and continuity indexes.

关 键 词：基层医疗卫生服务质量 医务人员 TOPSIS法 RSR法 长春 

分 类 号：R19-0[医药卫生—卫生事业管理]