Objective To evaluate the running status of community health service centers in suburban districts of Shenyang and the possible influencing factors using the TOPSIS method and to address the improvement counter-measures and suggestions.Methods TOPSIS method and the multiple stepwise linear regression was used to carry out comprehensive evaluations on twenty - four community health service centers from four suburban districts of Shenyang and to probe the main influencing factors of their running status.Results The following community health service centers, Suhuxi, Xinchengzi, Yingda, Pingluo, Quanyuan, Jiefang, and Shaling rank the top 7 in the results from TOPSIS evaluation.A total of five factors were introduced into the model, namely the per capita total expenditure, the training radio, the per capita working area and so on.Conclusion The TOPSIS method is simple, practical, and reliable.The government should increase the input for community health service centers , particularly for the training of the health professionals.%目的 应用TOPSIS法评价沈阳市四郊区社区卫生服务中心的运行状况,探讨其主要影响因素,提出改进对策与建议.方法 采用TOPSIS法对沈阳市四郊区24个社区卫生服务中心进行综合评价,并应用多元逐步回归分析探寻综合评价的主要影响因素.结果 在TOPSIS评价结果中,苏湖西、新城子、英达、平罗、泉园、解放和沙岭等社区卫生服务中心位于前七位.回归分析结果共有五个因素进入模型,分别是人均总支出、培训率、人均业务用房面积、中高级职称比、门急诊次均费用等.结论 TOPSIS分析方法简单实用,结果可靠.政府应加强对社区卫生服务机构的投入,特别是加强对中心卫生技术人员的培养.
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