基于熵权TOPSIS-RSR法和障碍度模型的河南省公共卫生水平评价

Evaluation on public health level in Henan Province based on entropy weight-TOPSIS-RSR and obstacle degree model

[目的]对河南省公共卫生水平进行全面评价,为提高其公共卫生水平提供政策建议。[方法]通过文献综述法确定公共卫生评价体系的指标,构建熵权TOPSIS模型对河南省2010-2021年公共卫生水平进行评价及分档;将熵权TOPSIS法的评价结果作为秩和比法(RSR)的RSR值再次进行评价及分档,与上一结果进行对比,采用障碍度模型寻找影响公共卫生水平的主要阻碍因素。[结果]2010-2021年河南省公共卫生水平呈上升趋势;资源配置和人群健康水平评价得分较低,环境质量和服务水平得分逐年增高;障碍度模型显示:环境质量和服务水平是主要障碍指标,人群健康水平阻碍作用增长最快,为50.75%。[结论]河南省公共卫生水平发展良好,但仍存在资源配置不均衡、卫生人员供给不足等问题,应合理配置资源,提升人群健康水平,保障公共卫生服务供给能力。

Objective This paper evaluates the public health level of Henan Province comprehensively to provide policy suggestions for improving the public health level.Methods The evaluation system index of public health was determined by literature review method,and the entropy weight-TOPSIS model was used to evaluate and classify the public health level of Henan Province from 2010 to 2021.The evaluation result of entropy weight-TOPSIS method was used as the value of RSR to evaluate and classify again,which compared with the previous result.The obstacle degree model was used to identify main obstacle factors affecting the level of public health.Results The public health level in Henan Province showed an upward trend from 2010 to 2021.The scores of resource allocation and evaluation on population health level were relatively low,while the scores of environmental quality and service level increased year by year.The obstacle degree model indicated that environmental quality and service level were the main obstacle indicators,and the growth rate of obstacle effect of population health level was the fastest,which was 50.75%.Conclusions The public health in Henan Province has developed well,but there are still problems such as unbalanced resource allocation and insufficient supply of health personnel.It is necessary to allocate resources rationally,enhance the health level of the population and ensure the supply capacity of public health services.