河南省县级卫生监督机构执法效能综合评价  

Comprehensive Evaluation of Law Enforcement Effectiveness of County-level Health Supervision Institutions in Henan Province

作　　者：范冠宇 李欣茹 胡冰钦 崔佩瑶 陈易彤 李晶华[1] FAN Guanyu(School of Public Health,Jilin University,Changchun,Jilin,130021,China)

机构地区：[1]吉林大学公共卫生学院,吉林长春130021 [2]河南省卫生健康委员会,河南郑州450046

出　　处：《医学与社会》2023年第12期20-25,共6页Medicine and Society

基　　金：河南省卫生和计划生育委员会委托郑州大学联合研究课题,编号为20180326A。

摘　　要：目的:对河南省县级卫生监督机构的执法效能进行综合评价,了解执法效能的基本现状,从而提出相应的建议,为提升卫生监督执法效能、促进卫生监督事业持续发展提供借鉴。方法:从河南省抽取10家县级卫生监督机构作为评价对象,运用加权累加综合评价法、TOPSIS法和RSR法,从监督能力、监督效率、监督效果、监督效益4个维度,对卫生监督机构2021年度执法效能进行综合评价和分档排序,研究探讨影响执法效能的主要因素。结果:在4个维度中,监督效率得分最高(0.80),监督能力次之(0.56),监督效果得分最低(0.32);其中,人力资源、经费投入、设施设备、应急处置能力、执法办案、部门评价、健康效益、社会效益得分较低。TOPSIS法评价结果显示,在10家县级卫生监督机构中,A县执法效能排在第1位。结合RSR法将评价结果分为“优”“中”“差”3档,A县、F县被评定为“优”,G县被评定为“差”,其余7个县被评定为“中”。结论:河南省县级卫生监督机构的执法效能存在较大差异,执法效果和执法效益有待提升,应当切实加大投入补齐存在的短板。Objective:To comprehensively evaluate the law enforcement effectiveness of county-level health supervision institutions in Henan province,to understand the current situation of law enforcement effectiveness,and propose corresponding improvement measures,so as to enhance the enforcement effectiveness of health supervision and promote the sustainable development of health supervision.Methods:Ten county-level health supervision institutions in Henan province were selected as the evaluation objects.The weighted sum comprehensive evaluation method,TOPSIS method,and RSR method were collectively used to comprehensively evaluate and rank the law enforcement effectiveness of health supervision agencies in 2021 from four dimensions:supervision capacity,supervision efficiency,supervision effect,and supervision benefit.Accordingly,the main factors affecting the law enforcement effectiveness were studied and explored.Results:Among the four dimensions,supervision efficiency had the highest score(0.80),followed by supervision capacity(0.56),and supervision effect had the lowest score(0.32).Among them,the scores for human resources,funding input,facilities and equipment,emergency response capability,law enforcement and case handling,departmental evaluation,health benefit and social benefit were relatively low.The TOPSIS evaluation results showed that among the ten county-level health supervision agencies,County A ranked first in the law enforcement effectiveness.Combined with the RSR method,the evaluation results were divided into three levels,with County A and County F rated as"excellent",County G rated as"poor",and the remaining seven counties rated as"average".Conclusion:There are significant differences in the law enforcement effectiveness of county-level health supervision institutions in Henan province,the effect and beneficial result of law enforcement should be improved,and more investment is needed to bolster weak spots.

关 键 词：卫生监督机构 执法效能 评价 河南 

分 类 号：R-05[医药卫生]