湖南省卫生事业发展水平的综合评价

摘要

Objective: To establish a comprehensive evaluation system for the development of health services, and to assess the levels of health services in 2008 and 2009 in Hunan compared with seven other provinces in central China, so as to provide a basis for hygiene management decisions.Methods: In order to establish a comprehensive evaluation system, a Delphi method, a boundary value method, and an RSR method were applied, respectively, to survey indices of health service development, to screen indices, and to determine index weights. A weighted TOPSIS method was used to evaluate the development status of health services of the eight provinces.Results: The Cronbachs alpha coefficient of the questionnaire was 0.884, indicating a proper surface validity and a content validity. The expert positive coefficient, authority coefficient and Kendall coefficient were 93.75%, 0.8117, and 0.31, respectively. A comprehensive evaluation system,which consisted of 3 primary indices, 10 secondary indices and 52 tertiary indices, was established. The result of the comprehensive evaluation showed that the health services development of Hunan Province ranked 7th and 6th among the 8 central provinces for 2008 and 2009, respectively. Conclusion: The established, comprehensive evaluation system has a high reliability. Health services development of Hunan Province is relatively backward among the 8 central provinces.%目的:建立卫生事业发展的综合评价体系,并利用该体系评价湖南省2008-2009年卫生事业发展在中部8省份中的水平,为卫生管理决策提供依据.方法:综合评价指标体系的建立分别采用专家咨询法调查卫生事业发展的备选指标体系、界值法筛选指标、秩和比法确定指标权重,应用加权TOPSIS法评价中部8省份卫生事业发展状况.结果:专家咨询问卷的克朗巴赫α系数为0.884,表面效度和内容效度较好.专家积极系数为93.75％,权威系数为0.8117,专家协调系数为0.31.建立了包括3个一级指标、10个二级指标和52个三级指标的综合评价体系.综合评价结果显示:湖南省2008,2009年分别在中部8省份中排名第7和第6名.结论:建立的综合评价体系可靠性较高.湖南省卫生事业发展在中部8省份中处于较落后地位.