TOPSIS法结合秩和比法在孕产妇保健工作质量评价中的应用

Application of TOPSIS method combined with rank sum ratio method in work quality evaluation of maternal health care

目的:利用TOPSIS法和秩和比(RSR)法综合评价2018年我国31个省级行政区孕产妇保健工作质量。方法:以《2019中国卫生健康统计年鉴》为数据来源,以该年鉴中的6项孕产妇保健工作质量指标为基础,采取TOPSIS法和RSR法相结合的方法,对2018年我国31个省级行政区孕产妇保健工作质量进行综合评价并分档。结果:TOPSIS法评价结果显示,排名前3位的分别为上海、浙江和天津,后3位的分别为西藏、云南、新疆。RSR法评价结果显示天津、上海和浙江孕产妇保健工作质量评为“优”,河南、西藏孕产妇保健工作质量评为“差”。方差分析显示各档差异有统计学意义(F=89.00,P<0.001)。结论:孕产妇保健工作质量存在地区差异,妇幼保健机构应加快提升综合实力,规范自身发展;政府需加大西部等地区孕产妇卫生资金投入、加强妇幼卫生服务体系建设、增强群众的孕产妇保健服务意识,以降低西藏等地区孕产妇死亡率。

Objective:To comprehensively evaluate work quality of maternal health care in 31 provincial administrative regions in 2018 by TOPSIS method and rank sum ratio(RSR)method.Methods:Taking"2019 China Health Statistical Yearbook"regarded as data sources,there were 6 indicators of work quality in the Yearbook which could be as basis.Work quality evaluation of maternal health care in 31 provincial administrative regions in 2018 was evaluated and ranked by TOPSIS method and RSR method.Results:TOPSIS method evaluation results showed that the top three were Shanghai,Zhejiang,and Tianjin.And the last three were Tibet,Yunnan and Xinjiang.The RSR method evaluation results showed that work quality of maternal health care in Tianjin,Shanghai and Zhejiang were"excellent",and work quality of maternal health care in Henan and Xizang were"poor".Analysis of variance showed that the differences in each file were statistically significant(F=89.00,P<0.001).Conclusions:There were regional differences in work quality of maternal health care.Maternal and child health institutions should speed up improvement of their overall strength and standardize their own development.Government needs to increase capital investment for maternal health in western and other regions,strengthen construction of maternal and child health service systems,and enhance public's awareness of maternal health care services,in order to reduce maternal mortality rate in Tibet and other regions.