国家基本公共卫生服务项目执行情况综合评价

目的了解国家基本公共卫生服务项目开展以来的执行情况，为科学合理评价不同地区基本公共卫生服务项目的执行情况提供依据。方法采用多阶段分层随机抽样方法在中国东、中、西部6个省区抽取城乡居民和基层公共卫生服务人员进行问卷调查；运用熵权TOPSIS法通过11大类国家基本公共卫生服务项目实施的真实性、有效性、可行性和满意率综合评价各样本省区基本公共卫生服务项目执行的优劣情况。结果6个省区居民家庭完成有效调查问卷7 077户，基层公共卫生服人员930人；熵权法计算11类项目的权重分别为0.292、0.037、0.021、0.050、0.104、0.158、0.059、0.044、0.132、0.034、0.069；6个省区TOPSIS综合排序依次为：山东、辽宁、安徽、河南、陕西、宁夏。结论国家基本公共卫生服务项目执行中存在明显的区域差异和项目间差异。

Comprehensive assessment on implementation of national basic public health service package

ObjectiveTo analyze nationwide implementation situation of basic public health service package,and to provide evidences for scientific and reasonable assessment on the package.MethodsData were collected with a questionnaire survey among urban and rural residents and grass-root public health service personnel selected from 6 provinces locating in eastern,central and western region of China using multi-stage stratification random sampling method.Based on authenticity,effectiveness,feasibility,and satisfaction of 11 items of the national basic public health services,this study applied technique for order preference by similarity to ideal solution(TOPSIS)method and adopted entropy weight to synthetically evaluate implementation of the package in each of the provinces.ResultsEligible questionnaires were collected from 7 077 families and 930 grass-root public health service personnel;the weights of the 11 items of national basic public health services were 0.292,0.037,0.021,0.050,0.104,0.158,0.059,0.044,0.132,0.034,and 0.069,respectively.According the combined evaluative score of TOPSIS,the rank order for effective implementation of the package among the 6 provinces was Shandong,Liaoning,Anhui,Henan,Shanxi,and Ningxia from high to low.ConclusionThere is a significant disequilibrium among different regions and among various services in the implementation of national basic public health services.