江西省村卫生室服务能力综合评价

目的对江西省11个地市村卫生室的服务能力进行综合评价,了解江西省各地市村卫生室服务能力状况。方法于2010年10月,以江西省11个地市所有26 287个村卫生室为评价对象,采用层次分析法(analytic hiererchy process,AHP法)确立指标权重,运用TOPSIS法和秩和比法(Kank-sun ratiio,RSR法)综合评价各地市村卫生室服务能力。结果一级指标的权重依次为服务功能(0.509 4)、卫生人力(0.234 3)、经费(0.131 8)、设备(0.084 9)和房屋(0.039 6);村卫生室服务能力TOPSIS法排序中鹰潭市排名第一(C_i值为0.806 7),新余市排名最后(C_i值为0.337 7);分档排序中,鹰潭市、吉安市较好(R?R值≥0.634),萍乡市、宜春市、景德镇、九江市、抚州市、南昌市和上饶市中等(0.366≤R?R值<0.634),赣州市、新余市相对较差(R?R值<0.366)。结论江西省11个地市村卫生室服务能力总体水平尚可,但有待于进一步提高。

Comprehensive evaluation on service capacity of village clinics in Jiangxi province

ObjectiveTo evaluate the service capacity of village clinics in Jiangxi province. MethodsAll village clinics in 11 cities of Jiangxi province were investigated and their service capacity was evaluated with analytic hierarchy process (AHP),technique for order performance by similarity to ideal solution (TOPSIS),and rank-sum ratio (RSR) method. ResultsThe weight of service function,health resources,fund,equipments,and houses were 0.509 4,0.234 3,0.131 8,0.084 9,and 0.039 6,respectively.According to the results of TOPSIS,the service capacity of village clinics of Yingtan municipality was the best (C_i value=0.806 7) and the last one was Xinyu city (C_i value= 0.337 7).The top two rank of service capacity for the 11 cities was Yingtan and Ji’an with the R?R of≥0.634,followed by Pingxiang,Yichun,Jingdezhen,Jiujiang,Fuzhou,Nanchang,and Shangrao with R?R value of ≥0.366 and <0.634,and Ganzhou and Xinyu with the RR values of﹤0.366. ConclusionThe overall service capacity of village clinics in 11 cities in Jiangxi was at an acceptable level but needs to be improved further.