基层卫生信息化水平评估指标体系的应用研究

Study on the application of indicator system for evaluating the informatization level of grassroots healthcare

目的 应用基层卫生信息化评估指标体系对上海市M区基层医疗卫生机构的卫生信息化水平现状进行评估并考察指标体系的可行性和稳健性,为基层卫生信息化发展提供参考。方法 前期通过文献研究、专家咨询已构建形成一套完整的基层卫生信息化水平评估指标体系。针对研究对象不同程度的卫生信息化发展水平,选取上海市M区3家卫生信息化水平不同的社区卫生服务中心(C1、C2、C3),收集指标体系相关数据,应用综合评估模型、加权TOPSIS、加权秩和比(RSR)3种方法对评估结果进行分析。其中,综合评估模型总分较高的卫生信息化发展较好;TOPSIS法评价对象与最优方案越接近的卫生信息化发展越好;RSR法其值越大则说明评价对象越优。结果 上海市M区3家社区卫生服务中心(C1、C2、C3)卫生信息化水平存在一定的差异,其综合得分分别为81.997、73.080、82.142分,加权TOPSIS法从好到差的顺序是C3、C1、C2,加权RSR法结果显示C3为上档,C1和C2均为中档。3种方法评估结果呈正相关(P<0.05),具有较好的一致性。结论 指标体系的实证应用结果显示研究所基于的基层卫生信息化水平评估指标体系具有可行性和稳健性。

Objective To study the application of an indicator system for evaluating the informatization level of grassroots healthcare of the M District of Shanghai and verify the feasibility and robustness of the indicator system.Methods As the early stage,an indicator system had been constructed for evaluating the informatization level of grassroots healthcare through the literature research and expert consultation.According to the different digitalization levels,three community healthcare centers(C1,C2 and C3)with different informatization levels in the M district of Shanghai were selected,and the data related to the indicator system were collected.Comprehensive evaluation model,weighted TOPSIS,and weighted rank-sum ratio(RSR)were used to analyze the data.The higher comprehensive score showed the better development of health digitalization level.As the weighted TOPSIS method,according to the degree to which the evaluation object and the idealized targets were close to each other,if a feasible solution was the closest to the ideal solution,it means that the evaluation object was closer to the optimal level.While the weighted RSR method was a non-parametric evaluation method which considered the relative magnitude of the indicators to be evaluated,and the larger the magnitude was,the better the evaluation object was.Results There were certain differences in the informatization level of the 3 community healthcare centers(C1,C2 and C3)in M District of Shanghai,with comprehensive scores of 81.997,73.080 and 82.142,respectively.The weighted TOPSIS method ranked C3,C1,and C2 from good to bad.The weighted RSR method results showed that C3 was at the top class,while Cl and C2 were both at the middle class.The evaluation results of the three methods were positively correlated(P<0.05),implying good consistency.Conclusion The empirical results suggested the feasibility and robustness of the indicator system constructed for evaluating the informatization level of grassroots healthcare.