考虑质量的江苏省医疗卫生服务效率评价

Efficiency Evaluation of Medical and Health Services in Jiangsu Province Considering Quality

摘要: 目的：基于熵权-TOPSIS法，综合评价江苏省2019年医疗服务的质量并基于此提出合理建议，以期能推动江苏省医疗卫生服务的健康发展。方法：依据Giarelli所提出的三个衡量医疗服务质量体系的三个指标，即管理质量、利益相关者的感知质量和专业素质三个主要方面对江苏省2019年医疗服务质量进行评价。综合应用TOPISIS法和熵权法分析2019年江苏省新医改后的医疗卫生服务质量方面的发展成效。结果：江苏省2019考虑卫生服务质量后效率排名前三位的分别为南京、苏州、连云港；排名后三位的分别为徐州、镇江、无锡。结论：江苏省医疗卫生服务效率的发展不仅存在各维度发展失衡的现状而且存在明显的地区差异，医疗服务质量的发展速度与经济发展水平速度存在不一致性。基于此，江苏省应调整因地制宜的调整各地医疗卫生发展手段，在重视质量发展的同时应完善多维度的能力指标体系构建，通过指定科学合理的医疗卫生发展规划，促进医疗卫生服务质量均衡、完善的发展。

Abstract: Purpose: Based on entropy weight TOPSIS method, comprehensively evaluate the quality of medical services in Jiangsu Province in 2019, and put forward reasonable suggestions based on this, in order to promote the healthy development of medical and health services in Jiangsu Province. Methods: The medical service quality of Jiangsu Province in 2019 was evaluated according to the three indicators proposed by Giarelli to measure the medical service quality system, namely management quality, perceived quality of stakeholders and professional quality. The comprehensive application of TOPSIS method and entropy weight method to analyze the development effect of medical and health service quality after the new medical reform in Jiangsu Province in 2019. Results: Nanjing, Suzhou and Lianyungang ranked the top three in terms of efficiency after considering the quality of health services in Jiangsu Province in 2019. The last three are Xuzhou, Zhenjiang and Wuxi. Conclusion: The development of medical and health service efficiency in Jiangsu Province not only has the current situation of unbalanced development in various dimensions, but also has obvious regional differences. The development speed of medical service quality is inconsistent with the speed of economic development. Based on this, Jiangsu Province should adjust the local medical and health development means according to local conditions. While paying attention to quality development, Jiangsu Province should improve the construction of multi-dimensional ability index system, and promote the balanced and perfect development of medical and health service quality by specifying scientific and reasonable medical and health development planning.