摘要
目的评价我国基本医疗服务均等化现状,为卫生行政部门制定优化政策提供理论依据。方法采用分层随机抽样法选取我国东部的山东、江苏、广东,中部的安徽、湖北、湖南,西部的重庆、甘肃、四川9个样本省市,采用TOPSIS法与秩和比(RSR)法评价其基本医疗服务均等化现状。数据来源于2011—2014年的《中国统计年鉴》《中国卫生统计年鉴》及《第五次卫生服务调查》,从中提取2010—2013年基本医疗服务的相关数据。采用世界卫生组织(WHO)提出的全民健康覆盖(UHC)测度维度(包括经济可负担、服务可提供、服务可获得、体系有效性)来评价基本医疗服务均等化现状。结果 TOPSIS法评价结果显示,基本医疗服务均等化排名后3位的省市分别为中部的安徽和西部的重庆、甘肃,而同为西部的四川排名第2;RSR法评价结果显示,排名后3位的省市分别为东部的江苏和西部的重庆、甘肃,而同为西部的四川排名第2。结论国家基本医疗服务均等化在东、中、西部区域间及区域内部均存在差异,其中东、中部优于西部,且西部内部差异最大。
Objective To evaluate the current situation of basic medical services in China,and to provide theoretical basis for health administrative departments formulating optimization policy. Methods Nine sample provinces and cities（ Eastern area： Shandong,Jiangsu,Guangdong; Central area： Anhui,Hubei,Hunan; Western area： Chongqing,Gansu,Sichuan）in our country were selected by stratified random sampling method,and their current situation of the equalization of basic medical services was evaluated by TOPSIS method and rank sum ratio（ RSR） method. Data were collected from China Health Statistics Yearbook from 2011 to 2014, China Statistical Yearbook and The Fifth Health Services Survey to extract relative data of basic medical services from 2010 to 2013. The equalization of basic medical services was evaluated by measures and dimensions of Universal Health Coverage（ including economic affordability,service availability,service attainability,system effectiveness）proposed by World Health Organization（ WHO）. Results The results of ranking order by TOPSIS evaluation showed that Anhui from Central area and Chongqing and Gansu from Western area occupied the last three places,while Sichuan though also from Western area ranked second in terms of the equalization of basic medical services; the results of ranking order by RSR evaluation showed that Jiangsu from Eastern area and Chongqing,Gansu from Western area took the last three places,while Sichuan though also from Western area was second. Conclusion Concerning the equalization of basic medical services,there are differences among Eastern,Central and Western regions and among inner regions,the situation in Eastern and Central areas is better than that in Western area,and the differences within inner Western areas are the largest.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第25期3078-3081,共4页
Chinese General Practice
