我国妇幼保健机构医疗服务能力综合评价与对策研究  

Comprehensive evaluation and countermeasures research on the medical service capacity of maternal and child health care institutions in China

作　　者：张彬[1] 张龙秀 ZHANG Bin;ZHANG Longxiu(Department of Science and Education,Maternal and Child Medical Center of Anhui Medical University(Hefei Maternal and Child Health Hospital),Hefei,Anhui 230001,China;Imaging Centre,Children's Medical Center of Anhui Medical University(Anhui Children's Hospital),Hefei,Anhui 230039,China)

机构地区：[1]安徽医科大学妇幼医学中心(合肥市妇幼保健院)科教处,安徽合肥230001 [2]安徽医科大学儿童医学中心(安徽省儿童医院)影像中心,安徽合肥230041

出　　处：《中国优生与遗传杂志》2025年第1期238-242,共5页Chinese Journal of Birth Health & Heredity

基　　金：安徽省哲学社会科学规划项目(AHSKY2023D031)。

摘　　要：目的对2012—2021年我国妇幼保健机构医疗服务能力进行综合评价与分析,并找出主要影响因素。方法从2013—2015年《中国卫生统计年鉴》、2016—2017年《中国卫生和计划生育统计年鉴》和2018—2022年《中国卫生健康统计年鉴》中选择9个评价指标,基于熵权TOPSIS法、RSR法和二者模糊联合法,从基础配置、服务数量、服务效率三个维度,综合评价我国妇幼保健机构医疗服务能力,并应用逐步回归法探索主要影响因素。结果2012—2021年我国妇幼保健机构医疗服务能力呈现逐年上升趋势,2021年妇幼保健机构医疗服务能力最好,2012、2013和2014年妇幼保健机构的医疗服务能力较差,卫生总费用和病床使用率可以解释相对接近度C的100%变化原因。结论2012—2021年我国妇幼保健机构医疗服务能力逐步提高,其主要影响维度指标是基础配置,主要影响指标是卫生总费用的投入和病床使用率。Objective To comprehensively evaluate and analyze the medical service capacity of China's maternal and child healthcare institutions from 2012 to 2021,and identify the main influencing factors.Methods Based on the entropy-weight TOPSIS method,RSR method,and their fuzzy joint method,nine evaluation indicators were selected from the“China Health Statistics Yearbook(2013-2015)”,“China Health and Family Planning Statistics Yearbook(2016-2017)”,and“China Health and Wellness Statistics Yearbook(2018-2022)”.And comprehensively evaluate the medical service capacity of China's maternity and child healthcare institutions from the three dimensions of basic configuration,service quantity,and service efficiency,and explore the main influencing factors by using stepwise regression method.Results The medical service capacity of China's maternal and child healthcare institutions showed a rising trend year by year from 2012 to 2021,with the best medical service capacity of maternal and child healthcare institutions at 2021,and the poorer medical service capacity of maternal and child healthcare institutions at the year of 2012,2013,and 2014.The total cost of health and the bed occupancy rate could explain the reason for the 100%change in the relative proximity C.Conclusion From 2012 to 2021,the medical service capacity of China's maternal and child healthcare institutions has gradually improved.The main influencing dimension indicator is the basic configuration,and the main influencing indicators are the total investment in health expenses and bed utilization rate.

关 键 词：熵权TOPSIS法 RSR法 保健机构 服务能力 逐步回归 

分 类 号：R197.6[医药卫生—卫生事业管理]