基于TOPSIS综合评价法的我国基本医疗服务均等化研究

Study on Basic Medical Services Equalization in China Based on TOPSIS Comprehensive Evaluation Method

目的:通过对我国基本医疗服务均等化现状进行测量与评价,为卫生行政部门制定优化政策提供理论依据。方法:运用TOPSIS综合评价法评价9个样本省的基本医疗服务均等化现状,分析各地区及各省基本医疗服务均等化的差异。结果:基本医疗服务经济可负担性和服务可获得性存在缺陷;东、中、西部的Ci值分别为0.6714、0.4168、0.2937,基本医疗服务均等化存在显著差异,其中东部均等化最优,中部次之,西部最低。结论:国家基本医疗服务均等化发展与缺陷并存,政府应充分发挥宏观调控作用,着重改善西部地区的经济可负担性和服务可获得性。

Objective：To provide theoretical basis for health administrative departments making optimization policy by measuring and evaluating status quo of basic medical services in China. Methods：To evaluate the status quo of basic medical services equalization t in 9 sample provinces and judge the differences between regions and provinces using TOPSIS comprehensive evaluation method. Results： The economic affordability and service availability of the national basic medical services are flawed. The Ci values of eastern, central and Western are 0. 6714、0. 4168、0. 2937 . There are significant differences in national basic medical services equalization. The eastern equalization is the best, the central part is second, the west is the lowest. Conclusion：National basic medical services equalization has the coexistence of development and defects. The government should play the role of macro-control fully and focus on optimizing the economic affordability and service availability of the West China.