基于TOPSIS评价的医学重点专科综合实力影响因素分析  

Analysis of influencing factors of comprehensive strength of key medical specialties based on TOPSIS evaluation

作　　者：吕晨曦 郭金玲[2] 刘笑天 王志龙[2] 姬崑 吕纪贻 蔡晨慧 王凯旋 Lyu Chenxi;Guo Jinling;Liu Xiaotian;Wang Zhilong;Ji Kun;Lyu Jiyi;Cai Chenhui;Wang Kaixuan(College of Public Health,Zhengzhou University,Zhengzhou 450001,China;Henan Medical Association,Zhengzhou 450003,China;Henan Health Commission,Zhengzhou 450046,China)

机构地区：[1]郑州大学公共卫生学院,450001 [2]河南省医学会,郑州450003 [3]河南省卫生健康委员会,郑州450046

出　　处：《中华医院管理杂志》2020年第6期520-524,共5页Chinese Journal of Hospital Administration

摘　　要：目的评价纳入"河南省省直医疗卫生机构医疗服务能力提升工程"专科的综合实力,分析影响因素,为专科建设提供科学依据。方法该项目共纳入52个专科。根据建设考核验收内容,设计调查问卷,从专科基础条件、医疗技术队伍、医疗服务能力、医疗质量、科研教学能力等方面,由纳入专科负责人进行填写。运用TOPSIS法进行专科综合实力评价,通过单因素分析、Mann-WhitneyU检验、相关分析和多元逐步回归分析主要影响因素。结果重点专科科研教学能力与专科综合实力关联性最强;科研教学能力与医疗服务能力强相关;省级以上学会任职人数、行业标准或国家指南制定数、主办省级以上学术会议数、研究生培养数、SCI及核心期刊论文发表数5个指标是科研教学能力的主要影响因素。结论重点专科需提高科研教学水平以促进医疗服务能力提升。应重点关注专科高层次人才建设、研究型人才培养、医疗新技术应用及原创性研究。Objective To evaluate the comprehensive strength of the specialties included in the medical service capacity improvement project of Henan provincial medical and health institutions,analyze the influencing factors,and provide scientific basis for the specialty construction.Methods A total of 52 specialties were included in the project.According to the content of construction assessment and acceptance,the questionnaire was designed and filled in by the persons in charge of the specialties from the aspects of basic conditions,medical technical team,medical service ability,medical quality,scientific research and teaching ability.TOPSIS method was used to evaluate the comprehensive strength of specialty,and the main influencing factors were analyzed by single factor analysis,Mann-Whitney U test,correlation analysis and multiple stepwise regression analysis.Results The research and teaching ability of the specialties had the strongest correlation with the comprehensive strength of the specialties.The scientific research and teaching ability was strongly related to the medical service ability.The number of people holding the post of academic institutes at or above provincial level,the number of industry standards or national guidelines,the number of academic conferences hosted at or above the provincial level,the number of postgraduate training,the number of papers published in SCI and core journals were the main influencing factors of scientific research and teaching ability.Conclusions It is necessary to improve the level of scientific research and teaching in key specialty to promote the improvement of medical service ability.We should pay more attention to the construction of high-level talents,the cultivation of research-oriented talents,the application of new medical technology and original research.

关 键 词：评价研究 TOPSIS法 医学重点专科 能力提升 影响因素 

分 类 号：R197.32[医药卫生—卫生事业管理]