中国省际社区卫生服务水平测度及障碍因素诊断 : = Measurement of inter-provincial community health service level and diagnosis of obstacles in China
目的测算中国省际社区卫生服务水平并诊断出制约省际社区卫生服务水平的障碍因素,为提升全国社区卫生服务水平提供参考。方法根据《社区卫生服务质量评价指标体系》测算全国省际社区卫生服务水平的平均得分,通过熵权法、探索性空间数据分析方法和障碍度模型对中国2016年省际社区卫生服务评价得分进行分析。结果全国省际社区卫生服务水平的平均得分为0.277 3,社区卫生服务水平最高的省区是广东(0.863 8),最低的省区是西藏(0.013 6);最高分与最低分之间相差0.850 2。省际社区卫生服务水平高水平省区为广东、江苏、上海、浙江、山东;中高水平省区为湖北、四川、北京、湖南、河南、重庆、安徽;中低水平省区为福建、辽宁、天津、河北、黑龙江;低水平省区分别是云南、内蒙古、广西、新疆、陕西、山西、贵州、江西、甘肃、吉林、海南、宁夏、青海、西藏。从全国整体上看,I6(病床使用率)、I7(平均住院日)是阻碍中、西部省区社区卫生服务水平提升的2大主要障碍因素;I4(入院人数)是影响东部省区社区卫生服务水平提高的首要障碍因素。结论中国东、中、西部区域间社区卫生服务水平存在较大的差异,东部省区整体社区卫生服务水平明显高于中、西部省区。应合理分配卫生资源,关注低水平地区的发展,抓住主要障碍因素,破解省际社区卫生服务水平的差距。.
Objective To measure the interprovincial community health service(CHS)level in China and diagnose the obstacles restricting the CHS level. Methods Average scores of the interprovincial CHS level across the country was estimated according to the"Evaluation Index System of Community Health Service Quality". Entropy weight method,exploratory spatial data analysis method and obstacle degree model were used to analyze and evaluate the average scores in 2016. Results The average score of CHS in China was 0.277 3. The highest score of CHS was 0.863 8 in Guangdong,and the lowest was 0.013 6 in Tibet,and the difference between the highest score and the lowest was 0.850 2. The provinces with high levels of interprovincial CHS were Guangdong,Jiangsu,Shanghai,Zhejiang,and Shandong;the middle and highlevel provinces were Hubei,Sichuan,Beijing,Hunan,Henan,Chongqing,and Anhui;the middle and lowlevel provinces were Fujian and Liaoning,Tianjin,Hebei,and Heilongjiang;the lowlevel provinces are Yunnan,Inner Mongolia,Guangxi,Xinjiang,Shaanxi,Shanxi,Guizhou,Jiangxi,Gansu,Jilin,Hainan,Ningxia,Qinghai,and Tibet. From the national perspective,the I6(bed occupancy rate)and I7(mean hospitalization day)were the two major obstacles that hindered the improvement of CHS levels in the central and western provinces. The I4(number of admissions)was the primary obstacle to the improvement of CHS in the eastern provinces. Conclusion The levels of CHS in the eastern,central and western regions of China were quite different. The overall CHS level in the eastern provinces was higher than that in the central and western ones. It is suggested that health resources should be allocated reasonably and attention should be paid to the development of lowlevel areas to narrow the gap of interprovincial CHS level..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019-02-20 2019 |
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| Erschienen: |
2019-02-20 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2019 |
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| Enthalten in: |
Hua nan yu fang yi xue - (2019), 01 vom: 20. Feb., Seite 32-36 Original Letters: Enthalten in 华南预防医学 (DE-600)2994822-8 (DE-600)2994822-8 广东省广州市 |
| Reihe: |
China Academic Journals (CAJ), E, 医药卫生科技 = Medicine & Public Health |
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| Sprache: |
Chinesisch |
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| Weiterer Titel: |
Measurement of inter-provincial community health service level and diagnosis of obstacles in China |
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| Beteiligte Personen: |
洪紫慧 [VerfasserIn] |
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| Links: |
oversea.cnki.net [lizenzpflichtig] |
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| Anmerkungen: |
Author info:HONG Zi-hui;HE Qun;XIA Ying-hua;XING Xiao-hui;School of Health Management,Southern Medical University;Guangdong Provincial Institute of Public Health,Guangdong Provincial Center for Disease Control and Prevention;Guangdong Provincial Center for Disease Control and Prevention |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
CAJ626680719 |
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| 245 | 1 | 0 | |a 中国省际社区卫生服务水平测度及障碍因素诊断 |b = Measurement of inter-provincial community health service level and diagnosis of obstacles in China |
| 246 | 3 | 1 | |a Measurement of inter-provincial community health service level and diagnosis of obstacles in China |
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| 490 | 0 | |a China Academic Journals (CAJ) |a E |a 医药卫生科技 = Medicine & Public Health | |
| 500 | |a Author info:HONG Zi-hui;HE Qun;XIA Ying-hua;XING Xiao-hui;School of Health Management,Southern Medical University;Guangdong Provincial Institute of Public Health,Guangdong Provincial Center for Disease Control and Prevention;Guangdong Provincial Center for Disease Control and Prevention | ||
| 520 | |a 目的测算中国省际社区卫生服务水平并诊断出制约省际社区卫生服务水平的障碍因素,为提升全国社区卫生服务水平提供参考。方法根据《社区卫生服务质量评价指标体系》测算全国省际社区卫生服务水平的平均得分,通过熵权法、探索性空间数据分析方法和障碍度模型对中国2016年省际社区卫生服务评价得分进行分析。结果全国省际社区卫生服务水平的平均得分为0.277 3,社区卫生服务水平最高的省区是广东(0.863 8),最低的省区是西藏(0.013 6);最高分与最低分之间相差0.850 2。省际社区卫生服务水平高水平省区为广东、江苏、上海、浙江、山东;中高水平省区为湖北、四川、北京、湖南、河南、重庆、安徽;中低水平省区为福建、辽宁、天津、河北、黑龙江;低水平省区分别是云南、内蒙古、广西、新疆、陕西、山西、贵州、江西、甘肃、吉林、海南、宁夏、青海、西藏。从全国整体上看,I6(病床使用率)、I7(平均住院日)是阻碍中、西部省区社区卫生服务水平提升的2大主要障碍因素;I4(入院人数)是影响东部省区社区卫生服务水平提高的首要障碍因素。结论中国东、中、西部区域间社区卫生服务水平存在较大的差异,东部省区整体社区卫生服务水平明显高于中、西部省区。应合理分配卫生资源,关注低水平地区的发展,抓住主要障碍因素,破解省际社区卫生服务水平的差距。 | ||
| 520 | |a Objective To measure the interprovincial community health service(CHS)level in China and diagnose the obstacles restricting the CHS level. Methods Average scores of the interprovincial CHS level across the country was estimated according to the"Evaluation Index System of Community Health Service Quality". Entropy weight method,exploratory spatial data analysis method and obstacle degree model were used to analyze and evaluate the average scores in 2016. Results The average score of CHS in China was 0.277 3. The highest score of CHS was 0.863 8 in Guangdong,and the lowest was 0.013 6 in Tibet,and the difference between the highest score and the lowest was 0.850 2. The provinces with high levels of interprovincial CHS were Guangdong,Jiangsu,Shanghai,Zhejiang,and Shandong;the middle and highlevel provinces were Hubei,Sichuan,Beijing,Hunan,Henan,Chongqing,and Anhui;the middle and lowlevel provinces were Fujian and Liaoning,Tianjin,Hebei,and Heilongjiang;the lowlevel provinces are Yunnan,Inner Mongolia,Guangxi,Xinjiang,Shaanxi,Shanxi,Guizhou,Jiangxi,Gansu,Jilin,Hainan,Ningxia,Qinghai,and Tibet. From the national perspective,the I6(bed occupancy rate)and I7(mean hospitalization day)were the two major obstacles that hindered the improvement of CHS levels in the central and western provinces. The I4(number of admissions)was the primary obstacle to the improvement of CHS in the eastern provinces. Conclusion The levels of CHS in the eastern,central and western regions of China were quite different. The overall CHS level in the eastern provinces was higher than that in the central and western ones. It is suggested that health resources should be allocated reasonably and attention should be paid to the development of lowlevel areas to narrow the gap of interprovincial CHS level. | ||
| 610 | 2 | 4 | |a 南方医科大学卫生管理学院 |
| 610 | 2 | 4 | |a 广东省疾病预防控制中心广东省公共卫生研究院 |
| 610 | 2 | 4 | |a 广东省疾病预防控制中心 |
| 650 | 4 | |a 保健组织与事业（卫生事业管理） | |
| 650 | 4 | |a 预防医学、卫生学 | |
| 650 | 4 | |a 医药、卫生 | |
| 650 | 4 | |a Policy and Law Research of Medicine and Sanitation | |
| 650 | 4 | |a 医药卫生科技 | |
| 650 | 4 | |a Medicine & Public Health | |
| 650 | 4 | |a 社区卫生服务 | |
| 650 | 4 | |a 熵权法 | |
| 650 | 4 | |a 模型,统计学 | |
| 650 | 4 | |a 数据分析 | |
| 650 | 4 | |a Community health services | |
| 650 | 4 | |a Entropy weight method | |
| 650 | 4 | |a Model,statistics | |
| 650 | 4 | |a Data analysis | |
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| 700 | 0 | |a 夏英华 |4 oth | |
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