摘要
县级公立医疗服务体系改革在我国深化医药卫生体制改革中的作用日益凸显。为进一步科学评价县级公立医疗服务体系改革实施效果,特以江西省于都县为例,以TOPSIS法对我国县级公立医疗服务评价体系改革实施效果进行分析。分析结果显示,在改革试点期间于都县公立医疗机构在医疗资源配置、医疗服务质量、医疗服务利用率、医疗服务效率和满意度五个方面均有所提高,但仍存在医疗资源配置不合理、医疗体系构建不完善等问题。因此,在县级公立医疗体系改革中,应进一步提升县级公立医疗机构服务体系运行效率,同时构建科学有效的医疗服务评价体系,加强基层医疗卫生体系的服务能力。
The role of the reform of country-level public medical care service system has become increasingly significant in the deepening the medical and health system reform.To further evaluate the implementation effect of the reform of country-level public medical care service system,the author selects Yudu County in Jiangxi Province as a typical case and uses the TOPSIS method to construct a more scientific and reasonable medical care evaluation system to make a deep analysis.The analysis result shows that during the period of the pilot reform,public medical institutions in Yudu County have made progresses in five aspects:the allocation of medical resources,the quality of medical services,the utilization rate of medical services,the efficiency of medical care and satisfaction degree.However,some problems still exist,such as irrational distribution of medical resources,imperfection of medical system,etc.Accordingly,in the reform of country-level public medical care service system,the operational efficiency of country-level public medical institution service system should be further improved,effective medical care evaluation system should be constructed as well,and the service capability of primary medical health system should be enhanced.
作者
邓大松
刘振宇
余思琦
DENG Dasong;LIU Zhenyu;YU Siqi(Center for Social Security Studies,Wuhan University,Wuhan,Hubei 430072,China)
出处
《江西师范大学学报（哲学社会科学版）》
CSSCI
北大核心
2018年第2期120-126,共7页
Journal of Jiangxi Normal University(Philosophy and Social Sciences Edition)
基金
教育部人文社会科学重点研究基地重大项目"新型农村合作医疗费用管控研究"(编号:15JJD630010)
