Comprehensive evaluation of the service capacity of township hospitals in the counties freed from poverty in Hubei province under the background of rural revitalization
10.3760/cma.j.cn111325-20230524-00419
- VernacularTitle:乡村振兴背景下湖北省脱贫县乡镇卫生院服务能力综合评价
- Author:
Jiaqi QIU
1
;
Yi PAN
;
Quan WANG
Author Information
1. 武汉大学公共卫生学院，武汉 430071
- Keywords:
Rural health services;
Health services research;
County freed from poverty;
Entropy weight-TOPSIS;
Rank-sum ratio;
Rural revitalization
- From:
Chinese Journal of Hospital Administration
2023;39(9):698-704
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the service capacity of township hospitals in the counties freed from poverty in Hubei province, for reference in improving their service capacity.Methods:An evaluation index system was constructed based on literature analysis. The service ability of such hospitals was comprehensively evaluated by both entropy weight-TOPSIS and rank-sum ratio method based on the 2022 performance evaluation data of township hospitals of Hubei Health Commission.Results:The evaluation index system of service capacity of township hospitals was constructed, using basic medical service, public health service, health resources and service efficiency as first-level indexes and 11 second-level indexes.A total of 299 township hospitals in 32 such counties were finally included in the analysis, and the results of entropy weight-TOPSIS method showed that the first-level indexes of the highest weight coefficient was health resources (0.43), and the second-level index was annual average number of discharged patients and surgeries in each township hospital (0.17). The mean Ci values of township hospitals in the 32 counties freed from poverty in terms of basic medical services, public health services, health resources, service efficiency, and comprehensive service capacity were 0.304, 0.420, 0.329, 0.576, and 0.352, respectively. The results of RSR method showed that 6, 21 and 5 hospitals in such counties were rated as " good, average and poor" in terms of service capacity. Conclusions:The medical service capacity of township hospitals was relatively weak, with a clear gap in their service capacity among such counties. The focus of improving their service capacity should be placed on health resources and surgical operation capacity.
