基于熵权TOPSIS与RSR法的中国孕产妇保健服务能力动态评价  

Dynamic evaluation of maternal health service capacity in 31 provinces based on entropy—weighted TOPSIS and RSR methods

作　　者：袁萍[1,2,3] 路佳 付铭 张慧 黄奕婷 程学新 YUAN Ping;LU Jia;FU Ming;ZHANG Hui;HUANG Yi-ting;CHEN Xue-xin(School of Public Health,Nanchang University,Nanchang,Jiangxi,330006,China)

机构地区：[1]南昌大学公共卫生学院,江西南昌330006 [2]江西省预防医学重点实验室 [3]南昌大学第二附属医院

出　　处：《现代预防医学》2023年第22期4105-4110,共6页Modern Preventive Medicine

基　　金：江西省自然科学基金基础研究计划—管理科学(20202 BAA208015)。

摘　　要：目的对我国31省份2011—2020年孕产妇保健服务能力进行动态评价,了解其变化趋势,为促进我国孕产妇保健服务能力提高提供参考。方法以《中国卫生健康统计年鉴》数据为基础,采用文献研究法、专家咨询法建立评价体系,数据整理为“省份-指标-年份”的三维数据集,熵权法、TOPSIS法、RSR法三种方法相结合对我国孕产妇保健服务能力进行动态综合评价,并对评价结果进行正态性检验、利用Levene法与Bonferroni法进行方差齐性检验和两两比较。结果熵权法得出权重最大的指标为建卡率与系统管理率,分别为0.2565、0.2160;TOPSIS法结果显示我国孕产妇服务能力从2011年0.8079上升到2016年的0.9001,2017—2020年有所波动;RSR法分档结果中多数省份各年份的档次较为稳定,档间差异大,各档之间差异均有统计学意义。结论2011—2020年我国孕产妇保健服务能力整体呈上升趋势,但地区之间的差异较为明显,呈现东部地区高于中、西部地区的趋势。Objective To evaluate the dynamic evaluation of maternal health service capacity in 31 provinces in China from 2011 to 2020,to understand its change trend,and to provide a reference for promoting the improvement of maternal health service capacity in China.Methods Based on data from the China Health Statistics Yearbook,literature research and expert consultation were used to establish the evaluation system.The data were organized into a three-dimensional dataset of“province-indicator-year”.Entropy weight,TOPSIS,and RSR were combined to carry out a dynamic and comprehensive evaluation of China’s maternal health care service capacity,and the results of the evaluation were subjected to normality test,ANOVA chi-square test and two-by-two comparison with Levene’s method and Bonferroni’s method.Results Through entropy weight method,the indicators with the greatest weight were the card establishment rate and the system management rate,which were 0.2565 and 0.2160,respectively.The results of the TOPSIS method showed that the capacity of maternal services in China had increased from 0.8079 in 2011 to 0.9001 in 2016,with fluctuations from 2017 to 2020.In the results of the RSR method,the grades of most provinces were relatively stable in each year,with large differences between the grades,which are statistically significant.Conclusion From 2011 to 2020,the overall capacity of China’s maternal healthcare services shows an upward trend,but the differences between regions are more obvious,showing a higher trend in the eastern region than in the central and western regions.

关 键 词：孕产妇保健 动态评价 熵权TOPSIS法 RSR法 

分 类 号：R173[医药卫生—妇幼卫生保健]