Service capacity evaluation for tertiary maternal and child health institutions based on entropy weight TOPSIS method
10.3760/cma.j.cn111325-20230520-00405
- VernacularTitle:基于熵权TOPSIS法的三级妇幼保健机构服务能力评价
- Author:
Yingying QIN
1
;
Zhaofang ZHU
Author Information
1. 潍坊医学院公共卫生学院，潍坊 261000
- Keywords:
Maternal and child health institutions;
Entropy weight TOPSIS method;
Service capacity;
Evaluation index system
- From:
Chinese Journal of Hospital Administration
2023;39(11):872-876
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To comprehensively evaluate the service capacity of tertiary maternal and child health institutions in S province based on the entropy weight TOPSIS method, for references for relevant policy formulation.Methods:Data on service capacity of 23 tertiary maternal and child health institutions in S Province in 2021 were collected for national perfomance appraisal subsystem of maternal and child health institution. Through literature analysis, five primary indexes, including management, service provision, operational efficiency, sustainable development, and satisfaction evaluation, as well as 10 secondary indexes and 20 tertiary indexes, were selected to construct a comprehensive evaluation index system for service capacity of tertiary maternal and child health institutions. The entropy weight TOPSIS method was used to comprehensively evaluate the service capacity and first level indexes level of tertiary maternal and child health institutions in S Province.Results:Jurisdictional management, sustainable development, and service provision were important first level indexes that affect the service capacity of institutions, with higher weights of 36.16%, 25.12%, and 24.30%, respectively. The service capabilities of institutions were ranked based on their relative closeness( C value), the top 5 institutions ( C value≥0.345) included 1 provincial-level institution, 3 prefecture level institutions, and 1 county-level institution, as well as the bottom 5 institutions ( C value≤0.174) included 1 prefecture level institution and 4 county-level institutions. From the perspective of first level indexe, the average C value of Jurisdictional management was the lowest(0.173), and the satisfaction evaluation′s C value was the highest (0.612). Moreover, the ranking of primary indexe in provincial institutions were generally higher than that of prefecture level institutions and county-level institutions. Conclusions:The development of the service capacity of the third level maternal and child health institutions in S Province was uneven, and the overall service capacity of county-level institutions was relatively weak, especially in terms of jurisdictional management, service provision, and sustainable development. It was recommended to further optimize the allocation of maternal and child health resources, strengthen personnel construction, promote science popularization and health education, and promote the development of specialties.
