摘要
目的对上海市社区卫生服务中心的基本公共卫生服务水平进行综合评价。方法于2014年1—12月,以上海市236家社区卫生服务中心为研究对象,其中社区卫生服务分中心、社区卫生服务站、村卫生室等均纳入社区卫生服务中心进行整体调查,依次编码为1~236。选取24位相关领域专家在《关于开展上海市社区卫生服务综合评价工作的实施意见》列举的考核指标中选择能够反映基本公共卫生服务工作开展情况的指标,构建评价指标体系;采用模糊综合评价法和熵权法计算各指标权重;采用加权秩和比（WRSR）法对236家社区卫生服务中心的基本公共卫生服务水平进行排序和分档。结果最终确定评价指标8项,权重为0.116 5～0.135 2。236家社区卫生服务中心的WRSR为0.148 9～0.807 9,最高值是最低值的5.4倍。按WRSR将236家社区卫生服务中心分为4档,分档为差、中、良、优的社区卫生服务中心分别为15家（6.4%）、102家（43.2%）、103家（43.6%）、16家（6.8%）。结论上海市社区卫生服务中心的基本公共卫生服务水平总体处于中上水平,不同地区或不同机构间的服务水平存在差异。
Objective To conduct a comprehensive evaluation of basic public health service level in Shanghai community health service centers. Methods From January to December 2014,we enrolled 236 community health service centers as subjects including community health service sub- centers,community health service stations and village clinics. The numbers of 1- 236 were assigned to each center. Indexes that can reflect the level of grass- root public health service were selected by 24 experts of relevant fields from the indexes listed in the Opinions on the Implementation of the Comprehensive Evaluation of Community Health Service of Shanghai,and an evaluation system was established. The weight of each index was calculated by fuzzy comprehensive evaluation method and entropy method; the 236 community health service centers were ranked and graded according to basic public health service level using weighted rank- sum ratio（ WRSR） method. Results Eight indexes were determined at last,with the weight ranging from 0. 116 5 to 0. 135 2. The WRSR of the 236 community health service centers ranged from 0. 148 9 to 0. 807 9,with the highest value 5. 4 times the lowest value. According to WRSR,the 236 centers were assigned into four grades which were bad, medium, good and excellent, and the exact numbers were 15（ 6. 4%）,102（ 43. 2%）,103（ 43. 6%） and 16（ 6. 8%） respectively. Conclusion The overall level of basic public health service in Shanghai community health service centers is at a medium level or above,while different areas and settings have gaps in service level.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第13期1510-1513,共4页
Chinese General Practice
基金
美国中华医学基金会卫生系统研究与政策转化合作项目(Grant Number 14-190)
关键词
基本公共卫生服务
服务水平
秩和比法
上海
Basic public health services
Service level
Rank sum ratio
Shanghai
