基于熵权TOPSIS综合法的广西妇幼保健服务质量评价  

Quality assessment of Guangxi maternal and child health careservices based on comprehensive entropy-TOPSIS method

作　　者：庞元华[1] 闻荻 邹雄[3] PANG Yuan-hua;WEN Di;ZOU Xiong(Department of Medical Affairs,Maternity and Child Health Care Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,China;School of Humanities and Social Sciences,Guangxi Medical University,Nanning 530000,China;Department of Scientific and Educational Affairs,Maternity and Child Health Care Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,China)

机构地区：[1]广西壮族自治区妇幼保健院医务部,南宁市530000 [2]广西医科大学人文社会科学学院,南宁市530000 [3]广西壮族自治区妇幼保健院科教部,南宁市530000

出　　处：《广西医学》2021年第13期1623-1626,共4页Guangxi Medical Journal

基　　金：广西医药卫生科研课题(Z20191060)。

摘　　要：目的基于熵权逼近理想解排序法(TOPSIS)综合法评价广西妇幼保健服务质量,为优化妇幼保健服务工作提供参考。方法结合相关统计数据、文件及文献,建立4个一级指标和15个二级二指标。采用熵权TOPSIS综合法对广西14个地级市2019年的妇幼保健服务质量进行评价。结果所选取变量指标的离散程度有所不同,离散趋势最大的指标是孕产妇死亡率,变异系数达48.92%;变量指标的变异系数与熵权值之间呈正相关(P<0.05)。贴近度(C i值)位列前三的地级市依次为河池市(C i=0.878)、南宁市(C i=0.729)、崇左市(C i=0.645),末三位是玉林市(C i=0.310)、北海市(C i=0.346)、贺州市(C i=0.371),且仅有3个地市的妇幼服务质量评为优良。结论广西妇幼保健服务质量整体水平较低,且各地级市之间差距明显。建议通过增强意识、改善财政补偿机制、探索“互联网+妇幼保健”新模式、借助健康中国战略和分级诊疗政策等途径改善现状。Objective To evaluate the quality of Guangxi maternal and child health care services based on the comprehensive entropy-Technique foROrdeRPreference by Similarity to an Ideal Solution(TOPSIS)method so as to provide a reference foRoptimizing maternal and child health care services.Methods FouRprimary indicators and 15 secondary indicators were developed based on the related statistical data,documents and literatures.The comprehensive entropy-TOPSIS method was employed to evaluate the quality of maternal and child health care services in 14 cities in Guangxi in 2019.Results The degree of dispersion was different among the selected variable indicators.The maternal mortality rate was the indicatoRwith the strongest tendency of dispersion,producing a coefficient of variation of 48.92%;and the indicator′s coefficient of variation positively correlated with entropy weight(P<0.05).The top three proximity values(C i)were seen in Hechi City(C i=0.878),Nanning City(C i=0.729)and Chongzuo City(C i=0.645),the bottom three in Yulin City(C i=0.310),Beihai City(C i=0.346)and Hezhou City(C i=0.371),and only three cities were rated as the city with good quality of maternal and child health care services.Conclusion Guangxi′s maternal and child health care services have a relatively low quality overall,and the gaps between cities are obvious.It is suggested to strengthen theiRconsciousness of improving service quality,perfect financial compensation mechanisms,explore the new model of"Internet+maternal and child health care",and take advantage of the Healthy China strategy and the policies regarding tiered diagnosis and treatment to improve the current status.

关 键 词：妇幼保健 服务质量 熵权 TOPSIS法 广西 

分 类 号：R172[医药卫生—妇幼卫生保健]