基于熵值法和层次分析法的新型农村合作医疗制度保障能力综合评价——以陕西省宝鸡地区为例

Evaluation on Security Capability of New Rural Cooperative System Based on Entropy and AHP Method——A Case Study in Baoji Area of Shaanxi Province

以管理学利益相关者理论为基础,以陕西省宝鸡地区新型农村合作医疗为例,建立了新型农村合作医疗制度对农户医疗保障能力的评价指标体系。运用熵值法和层次分析法确定了各评价指标的权重,利用模糊评价法对宝鸡地区新型农村合作医疗制度保障能力进行了综合评价。结果显示:政府机构、合作医疗经办机构和定点医疗机构对参加新型农村合作医疗的农民就医的保障能力分别为较强、较强和一般。提出了宝鸡地区要进一步提高新型农村合作医疗对参合农民的保障能力的主要建议:加大对医疗基础设施的投资建设;配备具有专业资质的医护人员;加强对医疗用药的监管。

Based on the stakeholder theory and a case study in Baoji area, this paper establishes the evaluation index system of the new rural cooperative medical system（NRCMS） to evaluate the capability of medical care security for farmers. This paper uses Entropy method and the Analytic Hierarchy Process to determine the weight of each index as well as Fuzzy evaluation method to conduct a compre-hensive evaluation on security capabilities of new rural cooperative medical system in Baoji area. The result shows that the security capability of government and cooperative medical service agencies is stronger while the security capability of designated medical institutions is general. Therefore, this paper puts forward some major suggestions on how to improve the security capability of new rural cooperative medical service in Baoji area： to increase investment in construction of medical infrastructure, to allocate more medical care workers with professional qualifications and to strengthen the supervision of pharmaceutical drugs.