基于熵权-TOPSIS法的长三角地区中医医院医疗卫生服务能力评价研究

Evaluation of Medical and Health Service Ability of TCM Hospitals in Yangtze River Delta Region Based on Entropy Weight-TOPSIS Method

对2016~2020年长三角地区中医医院医疗卫生服务能力进行综合评价研究,为长三角地区政府完善中医医院医疗服务提供参考。基于《中国卫生健康统计年鉴》2017~2021年数据,采用熵权-TOPSIS法评估长三角四个地区的中医医院医疗服务能力。十三五期间长三角地区中医医院医疗服务能力综合评估结果强弱顺序大体上为江苏、浙江、安徽、上海。其中2019、2020年数据出现较大幅度变化,2019年上海地区中医医院总体医疗服务能力超过了安徽全省,2020年与2018年相比,浙江服务能力呈上升,其他三个区域的总体情况呈下降,各项指标状况当中,2020年医疗效率维度上呈现明显下降趋势。数据结果表明,中医医院医疗服务综合能力与各省的中医医院人力资源丰富度以及服务效率存在较大关系,近年来医疗资源越发丰富但医疗效率下降,从另一层面反映了医师的工作负荷下降。

The comprehensive evaluation research on the medical and health service ability of TCM hospitals in the Yangtze River Delta from 2016 to 2020 provides reference for the government in the Yangtze River Delta to improve the medical service of TCM hospitals. Based on the data of China Health Statistics Yearbook from 2017 to 2021, the entropy weight-TOPSIS method was used to evaluate the medical service ability of TCM hospitals in four regions of the Yangtze River Delta. During the 13th Five-Year period, the comprehensive evaluation results of medical service ability of TCM hospitals in the Yangtze River Delta region were generally Jiangsu, Zhejiang, Anhui and Shanghai. Among them, the data in 2019 and 2020 changed greatly. In 2019, the overall medical service capacity of Shanghai Traditional Chinese Medicine Hospital exceeded that of Anhui Province. Compared with 2018, the service capacity of Zhejiang Province increased in 2020, and the overall situation of the other three regions decreased. Among the indicators, the medical efficiency dimension in 2020 showed a significant downward trend. The data results show that the comprehensive ability of medical services in Chinese medicine hospitals is closely related to the richness of human resources and service efficiency of Chinese medicine hospitals in each province. In recent years, medical resources have become more abundant but medical efficiency has declined, reflecting the decline of doctors’ workload from another level.