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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0.033 4,最大为0.050 4,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。
Objective To comprehensively evaluate the service ability of county-level MCH institutions to determine the weight of each index of its evaluation system. Methods The subjective weight coefficient and objective weight coefficient of evaluation index were obtained respectively by expert score method and CRITIC method, and then the comprehensive weight coefficient was obtained. The results showed that the comprehensive weighting coefficient was 0.033 4 and the maximum was 0.050 4, among which the number of open beds (X6), the number of equipment above ten thousand yuan (X7), the ratio of financial subsidy to total income (X12), the number of emergency door visits (X21 ) And the number of inpatients per year (X22), while the index of average length of stay (X9), ratio of medical expenditure to total expenditure (X13), maternal mortality rate (X18) (X19) and out-of-pocket costs (X25) had a higher comprehensive weight coefficient. Conclusions The evaluation index weighting coefficient established in this study, while evaluating the county-level MCH institutions through medical benefit, also pays more attention to its assessment of public health services and is consistent with the current trend of medical development. The subjective weighting method and the objective weighting method combine the index weight coefficient, the result is more scientific and reasonable.