Comprehensive Evaluation of Medical Service Ability of TCM Hospitals in 30 Provinces, Autonomous Regions and Municipalities of China in 2017 Based on Entropy Weight TOPSIS Method and RSR Method

Xiaohua Wu, Zhengzheng Huang, Shaowu Shen
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引用次数: 4

Abstract

Purpose: To evaluate the medical service ability of TCM hospitals in 30 provinces, autonomous regions and municipalities of China, and to provide reference for promoting the improvement of medical service ability. Methods: Entropy weight TOPSIS method and RSR method are used to compare and evaluate the medical service ability of TCM hospitals in 30 provinces, autonomous regions and municipalities of China in 2017. Result: Empowerment results with entropy weight method show that the weights of four dimensions of the evaluation indicator system of medical service ability in TCM hospitals are 0.1206, 0.3345, 0.2779 and 0.2670, respectively. The weights of evaluation indicators X1-X10 are 0.0786, 0.0419, 0.1250, 0.0909, 0.1186, 0.1409, 0.1370, 0.0723, 0.0354 and 0.1592, respectively. According to the sorting and classification results based on TOPSIS method and RSR method, Beijing and Zhejiang are the areas with the strongest medical service ability; the areas with stronger medical service ability are Jiangsu, Guangdong, Sichuan, Henan, Shandong, Hunan, Shaanxi, Hubei, Shanghai, Chongqing, Guangxi, Anhui and Tianjin; the areas with poor service ability include Ningxia, Yunnan, Gansu, Jiangxi, Hebei, Guizhou, Heilongjiang, Fujian, Xinjiang, Liaoning, Jilin, Shanxi, Qinghai and Hainan; Inner Mongolia is the area with the worst medical service ability in 2017. Conclusion: There is a big gap in the medical service ability of TCM hospitals in different regions. It is suggested that effective measures should be taken to narrow the gap between regions. Including: Strengthening the construction of TCM personnel team and allocating the TCM human resources rationally; enhancing the attraction of TCM hospitals to patients and increasing the volume of medical services; strengthening macro-control and promoting the balanced development of various service abilities.
基于熵权TOPSIS法和RSR法的2017年中国30个省、自治区、直辖市中医医院医疗服务能力综合评价
目的:对全国30个省、自治区、直辖市中医医院的医疗服务能力进行评价,为促进医疗服务能力的提高提供参考。方法:采用熵权TOPSIS法和RSR法对2017年全国30个省、自治区、直辖市中医院医疗服务能力进行比较评价。结果:熵权法赋权结果显示,中医医院医疗服务能力评价指标体系四个维度的权重分别为0.1206、0.3345、0.2779和0.2670。评价指标x1 ~ x10的权重分别为0.0786、0.0419、0.1250、0.0909、0.1186、0.1409、0.1370、0.0723、0.0354、0.1592。根据TOPSIS法和RSR法的排序和分类结果,北京和浙江是医疗服务能力最强的地区;医疗服务能力较强的地区为江苏、广东、四川、河南、山东、湖南、陕西、湖北、上海、重庆、广西、安徽和天津;服务能力较差的地区包括宁夏、云南、甘肃、江西、河北、贵州、黑龙江、福建、新疆、辽宁、吉林、山西、青海和海南;内蒙古是2017年医疗服务能力最差的地区。结论:不同地区中医医院的医疗服务能力存在较大差距。建议采取有效措施缩小地区间的差距。包括:加强中医人才队伍建设,合理配置中医人力资源;增强中医医院对患者的吸引力,增加医疗服务规模;加强宏观调控,促进各项服务能力均衡发展。
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