基于AHP-TOPSIS法的长三角地区城市医疗卫生服务评价  

Evaluation of Urban Medical and Health Services in Yangtze River Delta Based on AHP-TOPSIS

作　　者：张凯丽 罗娟[1] 邓硕哲 张艺婧 周添 王舒心 ZHANG Kai-li(School of Management,Shanghai University of Engineering Science,Shanghai,201620,China)

机构地区：[1]上海工程技术大学管理学院,上海201620 [2]东华大学机械工程学院,上海201620

出　　处：《医学与社会》2020年第12期6-10,共5页Medicine and Society

基　　金：国家社会科学基金资助项目,编号为CGA150154。

摘　　要：目的:对长三角地区代表城市医疗卫生服务水平进行综合评价研究,为地方政府完善医疗卫生服务体系提供参考。方法:基于《中国卫生健康统计年鉴(2019)》以及2019年长三角地区7个代表城市的统计年鉴、统计公报,采用AHP分层结合TOPSIS排序方法,评估7个代表城市的医疗卫生水平。结果:长三角地区代表城市的医疗卫生服务水平分为3个层次,杭州医疗卫生服务综合水平最高,处于0.8以上,属于第一层次;上海和南京的综合水平次之,贴近度在0.4-0.6之间,属于第二个层次;宁波、苏州、合肥、芜湖的贴近度在0.2以上,综合评价水平最低,属于第三个层次。结论:经济发展不平衡是长三角地区城市医疗卫生资源配置差异性的决定性因素,人口密度是长三角地区城市医疗卫生资源配置不均衡的主导性因素,人口年龄结构是长三角地区城市医疗卫生服务供需不匹配的主要因素。Objective:To conduct comprehensive evaluation and research on the level of medical and health services in representative cities of the Yangtze River Delta,to provide a reference for the local government to improve the medical and health service system.Methods:Based on China Health Statistics Yearbook(2019)and statistical yearbooks and bulletins of 7 representative cities in the Yangtze River Delta in 2019,AHP stratification combined with the TOPSIS ranking method was used to evaluate the medical and health levels of the 7 representative cities.Results:The level of medical and health services in representative cities in the Yangtze River Delta region was divided into 3 levels.Hangzhou had the highest comprehensive level of medical and health services,above 0.8,which belonged to the first level.Shanghai and Nanjing had the second highest level.The closeness was between 0.4 and 0.6,which belonged to the second level.The closeness of Ningbo,Suzhou,Hefei,and Wuhu was above 0.2,which had the lowest comprehensive evaluation level and belonged to the third level.Conclusion:The imbalance of economic development is the decisive factor of the difference in the allocation of urban medical and health resources in the Yangtze River Delta region.The population density is the dominant factor in the uneven allocation of urban medical and health resources in the Yangtze River Delta region.The population age structure is the main factor determining the mismatch of urban medical and health service supply and demand in the Yangtze River Delta.

关 键 词：医疗卫生服务 资源配置 AHP TOPSIS 城市 长三角地区 

分 类 号：R197.1[医药卫生—卫生事业管理]