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熵权TOPSIS法结合RSR法在中医药卫生资源配置综合评价中的应用(1)
http://www.100md.com 2019年3月19日 《医学信息》 2019年第11期
     摘要:目的 对甘肃省23个特困县(区)中医药卫生资源配置成效进行评价,为甘肃省提高中医药卫生资源配置的效率、实现资源的优化配置提供科学依据。方法 运用熵权TOPSIS法结合RSR法对甘肃省23个特困县(区)2017年中医药卫生资源配置的成效进行评价。结果 甘肃省23个特困县(区)中医药卫生资源配置不甚合理,医疗资源聚集水平区域间差异大并成为影响公共性的重要因素;熵权TOPSIS法显示23个特困县(区)中医药卫生资源配置综合得分排序与RSR分档基本一致。结论 熵权TOPSIS法结合RSR可直观地反应23个特困县(区)中医药卫生资源配置的整体情况,建议加强区域卫生规划,优化资源配置结构,建立健全效率评价工作,加强对特困县(区)的帮扶及人才引进工作。

    关键词:熵权TOPSIS法;RSR法;特困县(区);中医药卫生资源配置

    中图分类号:R197.1 文献标识码:A DOI:10.3969/j.issn.1006-1959.2019.11.038
, 百拇医药
    文章编号:1006-1959(2019)11-0130-05

    Abstract:Objective To evaluate the effectiveness of TCM health resources allocation in 23 special poverty-stricken counties (districts) in Gansu Province, and provide a scientific basis for Gansu Province to improve the efficiency of TCM health resource allocation and realize optimal allocation of resources. Methods The entropy-weighted TOPSIS method combined with the RSR method was used to evaluate the effectiveness of the allocation of TCM health resources in 23 special poverty-stricken counties (districts) in Gansu Province in 2017. Results The allocation of TCM health resources in 23 special poverty-stricken counties (districts) in Gansu province was not reasonable. The regional distribution of medical resources was large and became an important factor affecting publicity. The TOPSIS method of entropy rights showed 23 destitute counties (districts). The ranking of the comprehensive scores of health resource allocation is basically the same as that of the RSR. Conclusion The TOPSIS method combined with RSR can intuitively reflect the overall situation of TCM health resources allocation in 23 special poverty-stricken counties (districts). It is recommended to strengthen regional health planning, optimize resource allocation structure, establish and improve efficiency evaluation work, and strengthen the special poverty-stricken counties (districts) and help talent introduction work.
, 百拇医药
    Key words:TOPSIS method of entropy weight;RSR method;Destitute counties (districts);Allocation of health resources of traditional Chinese medicine

    中醫药博大精深,是中国传统文化的瑰宝,已成为中华民族独有的文化符号和中国软实力的重要构成因素。《中医药“一带一路”发展规划(2016-2020年)》的出台,开创了中医药全方位发展的新格局,为中医药“走出去”带来了前所未有的契机[1]。甘肃省是一个中医药大省,是全国唯一一个中医药综合改革试点示范省。省政府出台了《关于扶持和促进中医药事业发展的实施意见》,提出甘肃的医改之路是“走中医药特色的甘肃医改之路”。但是,甘肃受地理位置限制,经济发展落后。2010年,国家扶贫开发工作办公室根据《中国农村扶贫开发纲要(2001-2010年)》的要求,依据贫困人口数量、农民收入水平等综和指标,将甘肃省86个县(区)中的23个县(区)定为国家深度、特别困难县(区)。而如何把中医药卫生资源有效、合理的分配,以满足人群最大可能需要的问题就是中医药卫生资源分配[2]。中医药卫生资源平等、高效的分配是中医药卫生事业有序平稳发展的根本要求[3]。本研究对甘肃省23个特困县(区)中医药卫生资源配置成效进行评价,为甘肃省提高中医药卫生资源配置的效率、实现资源的优化配置提供科学依据。, http://www.100md.com(徐艳艳 苏杨 杨美霞)
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