[地方卫生系统绩效评价]。

Q3 Medicine
Hisato Nakajima, Kouya Yano
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引用次数: 0

摘要

目的:为了明确卫生系统的绩效(绩效),对各州进行了调查。方法:采用经济合作与发展组织制定的方法,采用27个指标进行研究。为了评估其性能,我们使用Mahalanobis-Taguchi方法通过整合指标来检测转录的信噪比(η)。η用中位数隔开。使用卡方检验研究了东、西日本县的比例和条例指定城市的存在与否。进一步研究了总组分η (T-η)、各组分η与支出以及T-η与预期寿命的相关性。结果:T-η与危险因素(RF)-η和资源(R)-η呈正相关,与健康状况(HS)-η负相关。T-η和RF-η超过中位数的非法令指定城市的县数量很大。HS-η值超过中位数的县级市数量也很大。此外,西日本有许多县的T-η在前25%。总支出与T-η、支出与RF-η、支出与R-η呈显著正相关。支出与HS-η呈负相关,与T-η呈负相关。结论:在预期寿命指标上,表现较好的县得到了认可。在这些县,资源的修正是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Evaluation of the Performance of Health Systems by Prefecture].

Objectives: To clarify the performance of health systems (performance), the state of prefectures was investigated.

Methods: Using the method developed by the Organisation for Economic Co-operation and Development, we conducted the study using 27 indicators. To evaluate the performance, we examined the signal-to-noise ratio of transcription (η) by integrating indicators using the Mahalanobis-Taguchi method. The η was separated by a median. The ratio of prefectures in East or West Japan and the presence or absence of ordinance-designated cities were studied using the chi-square test. Furthermore, the correlation among the total component η (T-η), each component η, and expenditures, and the correlation between T-η and life expectancy, were studied.

Results: The T-η positively correlated with the risk factors (RF)-η and the resources (R)-η, and negatively correlated with the health status (HS)-η. The number pf prefectures without ordinance-designated cities where the T-η and RF-η exceeded the median was large. The number of prefectures with ordinance-designated cities where the HS-η exceeded the median was also large. In addition, there were many prefectures where the T-η was in the top 25% in West Japan. There were positive correlations between the total expenditures and the T-η, the expenditures and the RF-η, and the expenditures and the R-η. There was a negative correlation between the expenditures and the HS-η, and the T-η and the life expectancy.

Conclusions: For life expectancy, prefectures with too good performance were recognized. In these prefectures, correction of resources is necessary.

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来源期刊
Japanese Journal of Hygiene
Japanese Journal of Hygiene Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
7
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