摘要
目的评估郑州市基本公共卫生服务工作开展情况。方法从郑州市卫生和计划生育委员会提供的2011至2016年所在辖区基本公共卫生服务开展情况年度报表和各年度卫生统计年鉴获取原始数据,利用逼近理性值排序法(TOPSIS法)和秩和比法综合研究分析郑州市6年基本公共卫生项目13项22个指标的实施效果。结果TOPSIS分析结果显示,2011至2016年相对接近系数(C值)分别为0.3757、0.3228、0.5212、0.6292、0.6494、0.6673;2016年C值最高,为最优年份;2012年C值最低,为最劣年份。根据秩和比法分析,2011至2016年秩和比(RSR值)分别为0.4545、0.4280、0.5340、0.6023、0.7235、0.7576,2016年是项目开展最优年份。进一步将6年基本公共卫生服务项目施行情况分为3个水平:当P(百分位数)的范围为P84.134~,对应是2016年,水平较高;当P范围为P50~,对应的是2013、2014、2015年,中等水平;当P范围为<P50,对应的是2011年和2012年,低水平。结论2011至2016年郑州市的基本公共卫生服务项目开展情况整体呈良好的趋势。
Objective To evaluate the implementation process of a basic public health service in Zhengzhou. Methods The primary data on the trends in the development of basic public health services were obtained from the annual report and the annual health statistics yearbooks from 2011 to 2016 published by the Zhengzhou City Health and Family Planning Commission. The techniques for order preference by similarity to an ideal solution (TOPSIS method) and rank sum ratio method were used to comprehensively study and analyze the implementation effects of 22 indicators in 13 items of a five-year basic public health project in Zhengzhou. Results Judging from the TOPSIS analysis results, the C values from 2011 to 2016 were 0.3757, 0.3228, 0.5212, 0.6292, 0.6494, and 0.6673 respectively. The year with the highest C value was 2016 and the year with the lowest C value was 2012. Using the rank sum ratio method, the RSR values from 2011 to 2016 were 0.4545, 0.4280, 0.5340, 0.6023, 0.7235, and 0.7576 respectively. From this, 2016 was found to be the best year for plan implementation. Further, the implementation of the five-year basic public health service plan can be divided into three levels. When the range of P (percentile) was P84.134-, and the corresponding year was 2016, the implementation level was higher. When the P (percentile) range was P50-, and it corresponded with 2013, 2014, and 2015, implementation was at a medium level. When the P (percentile) range was <P50, and it corresponded with 2011 and 2012, there was a low level of implementation. Conclusion The overall performance of basic public health services demonstrated positive trends in Zhengzhou from 2011 to 2016.
作者
王鹏莉
袁雪
刘亚珂
孙亮
孙长青
Wang Pengli;Yuan Xue;Liu Yake;Sun Liang;Sun Changqing(Department of Social Medicine and Health Management, School of Public Health, Zhengzhou University, Zhengzhou,450001, China)
出处
《中华健康管理学杂志》
CAS
2018年第6期541-545,共5页
Chinese Journal of Health Management
基金
国家社会科学基金项目 (15BSH043).
关键词
卫生服务
评价研究
Health services
Evalution studies
