浙江预防医学
浙江預防醫學
절강예방의학
ZHEJIANG JOURNAL OF PREVENTIVE MEDICINE
2014年
8期
791-795
,共5页
权重系数%专家评分法%CRITIC 法%妇幼保健机构
權重繫數%專傢評分法%CRITIC 法%婦幼保健機構
권중계수%전가평분법%CRITIC 법%부유보건궤구
Weight coefficient%Expert scoring method%CRITIC method%Maternal and child health careinstitution
目的：为全面评价县级妇幼保健机构服务能力确定其评价体系各指标的权重。方法运用专家评分法和CRITIC 法分别求出评价指标的主观权重系数和客观权重系数，再求出综合权重系数。结果综合权重系数最小为0.0334，最大为0.0504，其中指标开放床位数（X6）、万元以上设备数（X7）、财政补助收入占总收入比例（X12）、年门急诊人次数（X21）和年住院人次数（X22）的综合权重系数较小；而指标次均住院天数（X9）、医疗支出占总支出的比例（X13）、孕产妇死亡率（X18）、出入院诊断符合率（X19）和次均门诊费用（X25）的综合权重系数较大。结论本研究确立的服务能力评价指标权重系数，在通过医疗效益对县级妇幼保健机构进行评价的同时，也更加注重对其公共卫生服务的考核，符合当前医疗发展趋势。主观赋权法和客观赋权法相结合求指标权重系数，结果更加科学、合理。
目的：為全麵評價縣級婦幼保健機構服務能力確定其評價體繫各指標的權重。方法運用專傢評分法和CRITIC 法分彆求齣評價指標的主觀權重繫數和客觀權重繫數，再求齣綜閤權重繫數。結果綜閤權重繫數最小為0.0334，最大為0.0504，其中指標開放床位數（X6）、萬元以上設備數（X7）、財政補助收入佔總收入比例（X12）、年門急診人次數（X21）和年住院人次數（X22）的綜閤權重繫數較小；而指標次均住院天數（X9）、醫療支齣佔總支齣的比例（X13）、孕產婦死亡率（X18）、齣入院診斷符閤率（X19）和次均門診費用（X25）的綜閤權重繫數較大。結論本研究確立的服務能力評價指標權重繫數，在通過醫療效益對縣級婦幼保健機構進行評價的同時，也更加註重對其公共衛生服務的攷覈，符閤噹前醫療髮展趨勢。主觀賦權法和客觀賦權法相結閤求指標權重繫數，結果更加科學、閤理。
목적：위전면평개현급부유보건궤구복무능력학정기평개체계각지표적권중。방법운용전가평분법화CRITIC 법분별구출평개지표적주관권중계수화객관권중계수，재구출종합권중계수。결과종합권중계수최소위0.0334，최대위0.0504，기중지표개방상위수（X6）、만원이상설비수（X7）、재정보조수입점총수입비례（X12）、년문급진인차수（X21）화년주원인차수（X22）적종합권중계수교소；이지표차균주원천수（X9）、의료지출점총지출적비례（X13）、잉산부사망솔（X18）、출입원진단부합솔（X19）화차균문진비용（X25）적종합권중계수교대。결론본연구학립적복무능력평개지표권중계수，재통과의료효익대현급부유보건궤구진행평개적동시，야경가주중대기공공위생복무적고핵，부합당전의료발전추세。주관부권법화객관부권법상결합구지표권중계수，결과경가과학、합리。
Objective To obtain the weight coefficient of indicators for evaluating the service capacity of maternal and child health care institution at county level.Methods Expert scoring method and CRITIC method were used to calculate the subjective weight coefficient and objective weight coefficient respectively,then comprehensive weight coefficient of each indicator was calculated.Results A total of 25 indicators were selected,among which the minimum comprehensive weight coefficient was 0.033 4 and the maximum was 0.050 4.The 5 lowest weight coefficient indicators were the proportion of financial subsidies accounted for general income (X12),number of equipment valued above 10,000 Yuan (X7),number of available beds (X6),annual person -time number of hospitalization (X22)and annual person -time number of outpatient and emergency treatment (X21).The 5 highest weight coefficient indicators were the outpatient expenditure each time (X25),mortality rate of pregnant and lying -in women (X18),proportion of medical expenditure accounted for total expenditure (X13),indicators of the average hospital stay each time (X9)and diagnosis coincidence rate of hospital admission and discharge (X19).Conclusion This weight coefficient of indicators focuses more on the public health service and the comprehensive weight coefficient calculated by combining subjective weighting method and objective weighting method is more reasonable.
