基于熵权TOPSIS法与RSR法的广西中医类医院服务能力综合评价

Comprehensive evaluation of service capacity of guangxi TCM hospitals based on entropy weight TOPSIS and RSR methods

目的综合评价广西中医类医院服务能力,为促进广西中医药事业进一步发展提供循证依据。方法选取广西中医类医院服务能力相关指标,分别运用熵权TOPSIS法与RSR法对2014—2020年广西中医类医院服务能力及2020年广西各地区中医类医院服务能力进行综合评价。结果中医类医院门诊病人次均医药费用及住院病人人均医药费用从2016年开始出现较快增长;中医类医院病床使用率、总诊疗人次及出院人次在2020年出现较大幅度下降;基于TOPSIS法综合评价,2014—2020年广西中医类医院服务能力的C i值依次为0.407、0.449、0.478、0.51、0.575、0.588、0.575。2019年排在第一,2014年排在最后;基于RSR法进行排序分档,2020年广西中医类医院服务能力被评定为“优”的地区为柳州、桂林、南宁,被评定为“差”的地区为防城港、北海,其余9个地区被评定为“中”。结论广西中医类医院医药费用上涨过快,且受新冠疫情影响各项服务指标出现大幅下降。应加强中医类医院医药费用控制,并提升抗运营风险能力与公共卫生应急能力;广西中医类医院服务能力总体呈上升趋势,但各地区间存在明显差异。应加强政府宏观调控,减小地区间中医类医院服务能力的差异。

Objective To comprehensively evaluate the service capacity of traditional Chinese medicine hospitals in Guangxi and provide evidence-based basis for promoting the further development of traditional Chinese medicine in Guangxi.Methods Select relevant indicators of the service capacity of traditional Chinese medicine hospitals in Guangxi,and use the entropy weight TOPSIS method and RSR method to comprehensively evaluate the service capacity of traditional Chinese medicine hospitals in Guangxi from 2014 to 2020 and the service capacity of traditional Chinese medicine hospitals in various regions of Guangxi in 2020.Results The average medical expenses per outpatient and per inpatient of TCM hospitals have increased rapidly since 2016;the utilization rate of beds,the total number of people diagnosed and treated,and the number of people discharged from hospital in traditional Chinese medicine hospitals decreased significantly in 2020.Based on the comprehensive evaluation of TOPSIS method,the Ci values of the service capacity of traditional Chinese medicine hospitals in Guangxi from 2014 to 2020 are 0.407,0.449,0.478,0.51,0.575,0.588 and 0.575 respectively,ranked first in 2019 and last in 2014.Based on the RSR method,the service capacity of traditional Chinese medicine hospitals in Guangxi in 2020 was rated as“excellent”in Liuzhou,Guilin and Nanning,“poor”in Fangchenggang and Beihai,and“medium”in the other nine regions.Conclusion The medical expenses of traditional Chinese medicine hospitals in Guangxi rose too fast,and various service indicators declined significantly due to the COVID-19.We should strengthen the control of medical expenses in traditional Chinese medicine hospitals,and improve their ability to resist operational risks and public health emergency response.The service capacity of traditional Chinese medicine hospitals in Guangxi is generally on the rise,but there are obvious differences among regions.We should strengthen the government’s macro regulation and control to reduce the differences in the service capacity of TCM hospitals among regions.