基于加权秩和比模型的湖北省健康管理服务效果综合评价研究  

Comprehensive Evaluation for Hubei Health Management Service Based on Weighted Rank Sum Ration Model

作　　者：高旭东 谭晓东 王震坤 孔婵[3] GAO Xudong;TAN Xiaodong;WANG Zhenkun;KONG Chan(College of Health Science Nursing,Wuhan Polytechnic University,Wuhan 430023,China;School of Health Sciences,Wuhan University,Wuhan 430072,China;Comprehensive Medical Unit,Tongji Hospital of Tongji Medical College of HUST,Wuhan 430000,China)

机构地区：[1]武汉轻工大学医学技术与护理学院,湖北省武汉市430023 [2]武汉大学健康学院,湖北省武汉市430072 [3]华中科技大学同济医学院附属同济医院综合医疗科,湖北省武汉市430000

出　　处：《中国全科医学》2019年第35期4358-4361,共4页Chinese General Practice

基　　金：湖北省自然科学基金资助项目（2016CFB692）;武汉轻工大学教学研究项目（XQ2019005）;武汉轻工大学通识教育选修课立项项目（2019003）

摘　　要：背景湖北省于2013年启动健康管理试点工作,经过4年的实践,取得较好效果,并已在全省范围内推广。然而,国内尚未针对湖北省的健康管理工作建立一套系统的评价标准。目的针对湖北省目前所开展的健康管理工作建立一套服务效果评价指标体系,并对该指标体系进行应用。方法于2014-2016年,采用文献复习法和专家咨询法,构建湖北省健康管理服务效果评价指标体系,基于层次分析法(AHP)计算各级指标权重系数。通过建立的指标体系,基于湖北省健康管理首批试点地区武汉市黄陂区的4个功能区,即临空经济区、汉口北商贸区、木兰旅游区、都市农业区的调研数据,应用加权秩和比(WRSR)模型对服务效果进行分档和排序。结果健康管理服务效果评价指标体系含6项一级指标、21项二级指标、38项三级指标。汉口北商贸区、都市农业区、木兰旅游区、临空经济区的WRSR值分别为0.702 6、0.680 3、0.618 5、0.498 7。结论 WRSR模型基本可用于评价湖北省健康管理服务效果的优劣,健康管理试点地区的服务效果整体处于中上水平。Background Hubei Province launched a pilot project of health management in 2013. After four years of implementation, it has achieved good results and has been popularized throughout the Province. However, there is no systematic evaluation standard for health management in Hubei Province. Objective To establish and apply an evaluation system for health management service in Hubei Province.Methods Literature review and expert consultation methods were used to establish the evaluation system of Hubei health management services from 2014 to 2016.Based on analytic hierarchy process(AHP),index weight coefficients were established.From the data of pilot areas in four functional zones in Huangpi of Wuhan,namely,Airport Economic Zone,North Hankou Commercial Zone,Mulan Tourism Zone and Metropolitan Agricultural Zone,the weighted rank sum ratio(WRSR) model was used to classify and rank the service.Results The final established health management service evaluation system included 6 first-level indexes,21 second-level indexes and 38 third-level indexes.The WRSR values of North Hankou Commercial Zone,Metropolitan Agriculture Zone,Mulan Tourism Zone and Airport Economic Zone were 0.702 6,0.680 3,0.618 5,0.498 7,respectively.Conclusion The WRSR model can be used to evaluate the quality of health management service in Hubei Province,which proves that the overall service is generally good.

关 键 词：健康管理 指标体系 加权秩和比模型 湖北 

分 类 号：R197.1[医药卫生—卫生事业管理]