基于熵权TOPSIS-RSR法的C市三级公立医院高质量发展评价  

Evaluation of the high-quality development of tertiary public hospitals in C city based on entropy weight TOPSIS combined with RSR method

作　　者：刘芷含[1] 贺小娇 韦韩春 万胜 Liu Zhihan;He Xiaojiao;Wei Hanchun;Wan Sheng(School of Public Administration,Central South University,Changsha 410075,China;System Reform Division,Changsha Municipal Health Commission,Changsha 410013,China)

机构地区：[1]中南大学公共管理学院,长沙410075 [2]长沙市卫生健康委员会体制改革处,长沙410013

出　　处：《中华医院管理杂志》2022年第9期679-684,共6页Chinese Journal of Hospital Administration

基　　金：湖南省自然科学基金(2022JJ30055);湖南省社会科学成果评审委员会重点课题(XSP22ZDI008);中南大学研究生校企联合创新项目(2021XQLH115,2022XQLH094)。

摘　　要：目的对C市部分三级公立医院高质量发展情况进行综合评价,探索市本级公立医院高质量发展路径,为相关政策制定提供依据。方法结合公立医院高质量发展评价指标的相关政策文件,围绕医疗质量、经济效率、可持续发展和满意度4个维度,采取熵权TOPSIS-RSR法对C市部分三级公立医院2019、2020年高质量发展情况进行综合对比评价。包含C市所有5家市本级综合性三级公立医院,并纳入1家省属和2家县属三级公立医院进行对比研究。结果2019、2020年开展医疗协同数量、收支结余、每百名卫生技术人员科研项目经费熵权较大,是评价公立医院高质量发展的关键指标,其值分别为0.096与0.109、0.119与0.141、0.123与0.124;根据最佳分档原则,可将C市省属、市属、县属部分三级公立医院划分为"好""中""差"三个等级,不同级别间医院发展差距较大。结论C市市本级公立医院发展取得了明显成效,但仍存在医疗资源分布不均、人才培养动力不足,学科建设相对滞后、优势特色不够突出等问题,应进一步优化医疗资源配置、健全运营管理体系、明确公立医院社会功能、科学配置核心资源。Objective To comprehensively evaluate the high-quality development of some tertiary public hospitals in C city,and explore the high-quality development path of municipal public hospitals,so as to provide a basis for the formulation of relevant policies.Methods Based on the relevant policy documents of the evaluation indicators for the high-quality development of public hospitals,and around the four dimensions of medical quality,economic efficiency,sustainable development and satisfaction,the entropy weight TOPSIS-RSR method was adopted to comprehensively evaluate the high-quality development of some tertiary public hospitals in C city in 2019 and 2020.It included all five municipal comprehensive tertiary public hospitals in C city,and included one provincial and two county-level tertiary public hospitals for comparative study.Results In 2019 and 2020,the number of medical cooperation,the surplus of income and expenditure,and the entropy weight of scientific research project funding per 100 health technicians were large,which were the key indicators to evaluate the high-quality development of public hospitals,with the values of 0.096 and 0.109,0.119 and 0.141,0.123 and 0.124,respectively.According to the best classification principle,the provincial,municipal and county-level public hospitals in C city could be divided into three levels of"good","medium"and"poor",and the development gap between these levels was large.Conclusions The development of municipal public hospitals in C city has achieved remarkable results,but there are still such problems as uneven distribution of medical resources,insufficient motivation for talent training,relatively lagging discipline construction,and insufficient advantages and characteristics.In this regard,we should further optimize the allocation of medical resources,improve the operation and management system,clarify the social functions of public hospitals,and scientifically allocate core resources.

关 键 词：医院 公立 高质量发展 综合评价 熵权TOPSIS-RSR法 现代医院管理 

分 类 号：R197.3[医药卫生—卫生事业管理]