摘要
[目的]分析呼和浩特市基层医疗卫生机构医疗服务和公共卫生服务情况,探讨两类服务发展的协同性,为改善基层医疗卫生机构发展提供参考。[方法]收集2016-2019年呼和浩特市基层医疗卫生机构的相关数据,运用熵权法确定各指标的权重,采用耦合协调度分析方法分析基层医疗卫生机构公共卫生和医疗服务耦合协调度的变动趋势。[结果]2016-2019年,呼和浩特市基层医疗卫生机构的医疗服务和公共卫生服务耦合度呈逐年下降趋势,耦合度指数T由0.2482下降到0.1709。2019年有57.75%的机构协同等级低于中级,67.61%的机构更偏向提供公共卫生服务。经济发展水平相对较好地区的机构耦合度为0.2514,优于经济发展水平较差地区且偏向于发展医疗服务。“公办民营”模式机构的耦合度为0.1379,显著低于国有全资机构的耦合度0.1923。[结论]近年来呼和浩特市基层医疗卫生机构的医疗服务和公共卫生服务的协同发展水平较低,公共卫生服务相对较好。此外,地区经济状况与基层医疗卫生机构的协同发展水平密切相关,而“公办民营”的基层医疗卫生机构模式有改进的空间。建议政府采取多种措施提高基层卫生机构的服务质量和协同发展。
Objective This study aims to analyze medical services and public health services in grassroots healthcare institutions in Hohhot and explore the synergistic development of these two types of services,to provide the reference for improving the development of grassroots healthcare institutions.Methods Relevant data of grassroots healthcare institutions in Hohhot from 2016 to 2019 were collected.The entropy weight method was used to determine the weights of each indicator.The analysis method of coupling coordination degree was employed to analyze the changing trend of the coupling coordination degree between public health services and medical services in grassroots healthcare institutions.Results From 2016 to 2019,the coupling degree of medical services and public health services of grassroots healthcare institutions in Hohhot showed a downward trend year by year,with the coupling index T decreasing from 0.2482 to 0.1709.In 2019,57.75%of institutions had less than intermediate synergies,and 67.61%were more focused on providing public health services.The coupling degree of institutions in areas with relatively good economic development level was 0.2514,which was better than those in areas with poor economic development level.Regions with better economic development tended to develop medical services.The coupling degree of the“state-owned and privately operated institutions”was 0.1379,significantly lower than wholly state-owned institutions'coupling degree 0.1923.Conclusions In recent years,the coordinated development level of medical services and public health services in primary medical and health institutions in Hohhot is low,and the public health services are relatively good.In addition,regional economic conditions are closely related to the level of coordinated development of primary health care institutions.There is room for improvement in the model of“state-owned and privately operated”primary health care institutions.It is suggested that the government take various measures to improve the service quality and coordinated development of grassroots healthcare institutions.
作者
胡嘉靖
HU Jiajing(College of Health Management,Inner Mongolia Medical University,Hohhot Inner Mongolia 010110,China)
出处
《卫生软科学》
2023年第12期6-11,共6页
Soft Science of Health
基金
内蒙古自然科学基金青年项目(2022QN07001)
内蒙古自治区高等学校科学研究项目(NJSY22670)。
关键词
基层医疗卫生机构
医疗服务
公共卫生服务
耦合协调
grassroots healthcare institutions
medical services
public health services
coupling coordination
