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上海市医疗卫生资源配置状况及综合评价分析
Allocation and comprehensive evaluation of health care resources in Shanghai

作者:魏子汉 李红艳

单位:上海,上海工程技术大学管理学院

关键词:医疗卫生资源配置;TOPSIS 法;贴近度;增长速度

分类号:R197

DOI:10.3969/j.issn.2095-7432.2021.04.002

出版年,卷(期),页码:2021,11 (4):7-11

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摘要:

目的 分析 2015—2019 年上海市医疗卫生资源配置状况的发展趋势,评价 2019 年上海市与全国的医疗卫生资源配 置状况,以期为当地政府制定优化策略提供参考。方法 通过年均增长速度和 TOPSIS 法对 2015—2019 年上海市医疗卫生资源 配置状况变化趋势进行分析,采用 TOPSIS 法综合评价上海市与全国的医疗卫生资源配置状况。结果 2015—2019 年,上海市医 疗卫生资源配置中,每千人拥有注册护士数、每千人拥有卫生技术人员数、每千人拥有执业 ( 助理 ) 医师数、每万人拥有卫生 机构数、每千人拥有卫生机构床位数、卫生支出占财政支出的比重的年平均增长率分别为 7.02%、6.29%、5.87%、3.35%、6.41%、 5.32%,均呈上升趋势;TOPSIS 法评价结果显示 2015—2019 年上海市整体贴近度从 0 增加到 1,与全国的对比结果显示上海市 贴近度为 0.6758,而全国贴近度为 0.3242。结论 2015—2019 年上海市医疗卫生资源配置状况不断改善,但各指标之间增长速度 不均衡;相较于全国,上海市卫生机构投入数量和卫生支出占财政支出的比例有待提高。

英文摘要:

Objective To analyze the allocation of health care resources in Shanghai from 2015-2019 and evaluate the status quo of health care resource allocation in Shanghai and across China in 2019, so as to provide evidence in the decision-making by local government. Methods The trend of changes in the health care resource allocation in Shanghai from 2015-2019 was analyzed based on the average annual growth rate and by the TOPSIS method. The TOPSIS method was also used to comprehensively evaluate the health care resource allocation in Shanghai and in China. Results From 2015 to 2019, the average annual growth rates of the number of registered nurses per 1,000 people, the number of health technicians per 1,000 people, the number of licensed (assistant) physicians per 1,000 people, the number of medical institutions per 10,000 people, the number of beds in medical institutions per 1,000 people, and the proportion of health expenditures in financial expenditures in Shanghai were 7.02%, 6.29%, 5.87%, 3.35%, 6.41%, and 5.32%, respectively, all of which showed an increasing trend. TOPSIS showed that the overall closeness coefficient increased from 0 to 1 in Shanghai from 2015 to 2019, and the comparison between Shanghai and the nationwide data showed that the closeness coefficient was 0.6758 for Shanghai and 0.3242 for the whole country. Conclusions The allocation of medical and health resources in Shanghai had been improving from 2015 to 2019, but the growth rates were uneven among different indicators; compared with the nationwide data, the number of medical institutions and the ratio of health expenditure to financial expenditure in Shanghai need to be further increased.

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