乡村振兴背景下农民健康服务供给水平评价指标体系的构建与应用研究  

Development and application of an evaluation index system for assessing the level of health service provision to farmers in the context of rural revitalization

作　　者：喻明 丁海峰 Yu Ming;Ding Haifeng(College of Public Administration and Law,Hunan Agricultural University,Changsha 410128,Hunan Province,China)

机构地区：[1]湖南农业大学公共管理与法学学院,长沙410128

出　　处：《中国医疗管理科学》2024年第6期13-21,共9页Chinese Journal Of Medical Management Sciences

基　　金：湖南省哲学社会科学成果评审委员会立项资助重大项目“湖南省农村智慧健康养老体系研究”(XSP21ZDA001);湖南农业大学研究生科研创新项目“数字技术对农村老人健康老龄化的影响机制研究”(2024XKC082)。

摘　　要：目的建立农民健康服务供给水平评价指标体系并进行实证研究。方法以乡村振兴战略与健康中国战略为导向,采用文献分析、德尔菲法等方法,构建了农民健康服务供给水平评价指标体系。然后利用层次分析法(AHP)、熵权法、线性加权评价法、TOPSIS法以及秩和比法等方法,从健康服务内容、健康服务质量、健康服务可及性、健康服务保障与健康服务协同5个维度评价2017年—2020年我国9个省份乡村振兴背景下农民健康服务供给水平。结果乡村振兴背景下我国农民健康服务供给水平在整体上呈现稳中求进的趋势,东、中、西部农民健康服务供给水平呈现出“东部高于中部,中部略高于西部”的空间格局,健康服务内容较为完善,健康服务可及性排名相对较好,但卫生健康资源流动性、均等化等仍需提升。结论本研究构建的农民健康服务供给水平评价指标体系科学、合理,可对乡村健康振兴的进展情况进行检测、预警和纠偏,为各级政府制定相关政策提供理论与数据支撑。Objective To develop an evaluation index system for health service provision to farmers and to assess its application in an empirical study.Methods Guided by the Rural Revitalization Strategy and the Healthy China initiative,an evaluation index system for the level of health service provision to farmers was developed based on literature review and Delphi method.Subsequently,utilizing a multi-methodological approach,including the Analytic Hierarchy Process(AHP),entropy weight method,linear weighted combination method,Technique for Order of Preference by Similarity to Ideal Solution(TOPSIS),and rank-sum ratio method,this study evaluated the level of health service provision to farmers within the framework of rural revitalization.The assessment was conducted across nine provinces in China from 2017 to 2020,encompassing five dimensions including the content,quality,accessibility,assurance,and coordination of health services.Results In the context of rural revitalization,the health service provision to farmers in China exhibited an overall trend of steady advancement with a pursuit of further improvements.In terms of regional disparities,it was higher in the eastern region than in the central region and slightly higher in the central region than in the western region.While the content of health services was complete and the health service accessibility ranked high,the mobility and equalization of health resources still needed to be improved.Conclusion The evaluation index system for the health service supply to farmers developed within this study is scientifically sound and methodologically rigorous.It can be used for monitoring,alerting,and correcting rural health revitalization efforts.Furthermore,it offers theoretical foundations and empirical data to inform policy formulation by governmental authorities at various levels.

关 键 词：乡村振兴 农民健康 服务供给 评价指标 

分 类 号：R19[医药卫生—卫生事业管理]