安徽省三级综合公立医院医疗服务能力综合评价  

Comprehensive evaluation of medical service capacity of tertiary comprehensive public hospitals in Anhui Province

作　　者：张晓丽[1] 汪卓赟 王汉文[1] 顾维波 ZHANG Xiaoi;WANG Zhuoyun;WANG Hanwen;GU Weibo(School of Health Management,Anhui Medical University,Hefei 230032;Department of Hospital Management Teaching and Research Section,The Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230032 [2]安徽医科大学第二附属医院医院管理学教研室,安徽合肥230601

出　　处：《南京医科大学学报（社会科学版）》2023年第6期566-572,共7页Journal of Nanjing Medical University（Social Sciences）

基　　金：安徽医科大学卫生政策研究中心开放项目“安徽省城市医联体发展现状与优化策略研究”(2022wszc17);安徽省教育厅高校哲学社会科学研究项目“三级公立医院绩效考核背景下安徽省公立医院运营效率评价及影响因素研究”(2023AH053154)。

摘　　要：文章应用熵权TOPSIS法、密切值法和RSR法对安徽省33家三级综合公立医院医疗服务能力进行综合评价,以探索安徽省三级综合公立医院医疗服务能力提升路径,为进一步深化公立医院改革提供科学依据。结果显示,三种评价方法所得排名结果相近,且RSR法分档结果所得到的“好”“中”“差”三个等级之间差异具有统计学意义,不同级别医院间存在较大差距。可以看出,安徽省大部分三级综合公立医院医疗服务能力处于一般水平,且皖北、皖中和皖南存在区域性差异,应进一步改善就诊服务流程、合理控制医疗费用、优化卫生资源配置。A comprehensive evaluation of the medical service capacity of 33 tertiary comprehensive public hospitals in Anhui Province was conducted by applying entropy TOPSIS,osculating value method,and RSR to explore ways of improving the medical service capacity of tertiary comprehensive public hospitals in Anhui Province,and to provide scientific basis for further reformation of public hospitals.The ranking results obtained by the three evaluation methods are similar,the difference between the three levels of“good”“medium”and“poor”obtained from the graded results of the RSR method is statistically significant,and there is a large gap between hospitals of different levels.Most of the tertiary comprehensive public hospitals in Anhui Province are at an average level of medical service capacity with regional differences between northern Anhui,central Anhui,and southern Anhui.Further improvements should be made to the process of consultation services,reasonable control of medical costs,and optimization of healthcare resource allocation.

关 键 词：医疗服务 熵权TOPSIS法 密切值法 RSR法 综合评价 

分 类 号：R197.1[医药卫生—卫生事业管理]