Healthcare quality evaluation of tertiary public hospitals in ethnic border regions under China's performance assessment system-based on the entropy weight TOPSIS method and RSR fuzzy set.
IF 3.4 3区 医学Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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Abstract
Objective: Performance evaluation is critical for improving healthcare quality and service delivery. This study analyzes the healthcare quality of tertiary hospitals across various cities in Guangxi under China's public hospital performance assessment policy to identify influencing factors and propose targeted improvement strategies for the national evaluation system.
Methods: The healthcare quality of general hospitals in Guangxi from 2019 to 2022 was evaluated using a fuzzy set entropy-weighted TOPSIS and RSR method, followed by a comprehensive city-level ranking.
Results: Entropy-weighted TOPSIS revealed the top three weighted indicators: (1) number of referred-out patients, (2) low-risk group mortality rate, and (3) proportion of reviewed prescriptions. The quality of H7 and H11 improved significantly, while H9 consistently ranked in the top 4. The RSR stratification classified H1, H2, H8, and H9 as high-performing, H6 and H12 as low-performing, and H4, H5, H6, H12, and H13 as persistently below average for four consecutive years. Using the fuzzy set method, H1, H9, H11, and H1 were ranked as the highest-performing cities from 2019 to 2022, respectively.
Conclusion: There are minor discrepancies among the three methodologies, but the trends remain largely consistent. The fuzzy-combined approach provides more robust evaluations, which offers actionable insights for healthcare quality enhancement and management standardization. Consequently, hospitals should improve the quality of services and sustain the core competitiveness of public hospitals by implementing tiered healthcare systems and standardized prescription review protocols.
期刊介绍：
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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