山东省“互联网+医疗健康”综合评估指数构建及其应用

Construction and application of comprehensive evaluation index of“Internet+Medical Health”in Shandong Province

目的评估山东省“互联网+医疗健康”示范省建设发展的现状,分析各城市发展存在的薄弱环节,为提升其建设水平提供科学依据。方法依据《山东省人民政府办公厅关于印发山东省推进“互联网+医疗健康”示范省建设行动计划(2019―2020年)的通知》(鲁政办发[2019]19号,简称《行动计划》)和“结构-过程-结果”模型制定“互联网+医疗健康”评估指标体系,采用熵权-优劣解距离法(technique for order preference by similarity to an ideal solution,TOPSIS)和综合指数法对山东省16个城市的“互联网+医疗健康”建设现状进行评估和比较。结果山东省16个城市市直单位和医疗机构的“互联网+医疗健康”发展现状较好,而各城市间也存在差异。其中市直单位的综合评估指数平均水平为0.545,发展现状最好的城市为H市,其评估指数0.791,最低为I市,其评估指数为0.167;各城市医疗机构的综合评价指数平均水平为0.662,发展最好的城市为H市,其评估指数为0.977,最低为I市,其评估指数为0.123。结论“结构-过程-结果”模型结合熵权-TOPSIS法建立的“互联网+医疗健康”评估指数能够客观且全面地评价“互联网+医疗健康”发展状况,为山东省“互联网+医疗健康”示范省建设的以评促改提供科学依据。

Objective To evaluate the present situation of Shandong in the construction of the“Internet+Medical Health”demonstration province,to analyze the shortcomings in the development of each city,and to provide a scientific basis for the improvement of its construction level.Methods Grounding on the"General Office of the People’s Government of Shandong Province on the issuance of the Shandong Province Action Plan for the Construction of“Internet+Medical Health”Demonstration Province(2019-2020)"(hereinafter referred to as"Action Plan")and the“Structure-Process-Results”model,we developed the“Internet+Medical Health”evaluation index system.The present situation of“Internet+Medical Health”construction in 16 Cities of Shandong Province was evaluated and compared through the entropy weight-TOPSIS method and comprehensive index method.Results The status quo of“Internet+Medical Health”in 16 Cities of Shandong Province is good,and significant differences were found among Cities.The average comprehensive evaluation index of municipal units was 0.545,of which the city with the best development status was H City,with an assessment index of 0.791,and the lowest was City I,whose evaluation index was 0.167.The average comprehensive evaluation index of medical institutions in various cities was 0.662,of which the best-developed city was H City,with an assessment index of 0.977,and the lowest city with an assessment index of 0.123 was City I.Conclusions The“Internet+Medical Health”evaluation index established by the“Structure-Process-Results”model combined with the entropy weight-TOPSIS method can objectively and comprehensively evaluate the development of“Internet+medical health”.Our results provide the scientific basis for the construction of the“Internet+Medical Health”model province in Shandong Province.