Construction and application of comprehensive evaluation index of "Internet+ Medical Health" in Shandong Province
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摘要:
目的 评估山东省“互联网+医疗健康”示范省建设发展的现状,分析各城市发展存在的薄弱环节,为提升其建设水平提供科学依据。 方法 依据《山东省人民政府办公厅关于印发山东省推进“互联网+医疗健康”示范省建设行动计划(2019―2020年)的通知》(鲁政办发[2019]19号,简称《行动计划》)和“结构-过程-结果”模型制定“互联网+医疗健康”评估指标体系,采用熵权-优劣解距离法(technique for order preference by similarity to an ideal solution,TOPSIS)和综合指数法对山东省16个城市的“互联网+医疗健康”建设现状进行评估和比较。 结果 山东省16个城市市直单位和医疗机构的“互联网+医疗健康”发展现状较好,而各城市间也存在差异。其中市直单位的综合评估指数平均水平为0.545,发展现状最好的城市为H市,其评估指数0.791,最低为I市,其评估指数为0.167;各城市医疗机构的综合评价指数平均水平为0.662,发展最好的城市为H市,其评估指数为0.977,最低为I市,其评估指数为0.123。 结论 “结构-过程-结果”模型结合熵权-TOPSIS法建立的“互联网+医疗健康”评估指数能够客观且全面地评价“互联网+医疗健康”发展状况,为山东省“互联网+医疗健康”示范省建设的以评促改提供科学依据。 -
关键词:
- 互联网+医疗健康 /
- 评估指数 /
- 熵权-TOPSIS法 /
- 综合指数法
Abstract:Objective To evaluate the present situation of Shandong in the construction of the "Internet + Medical Health" demonstration province, to analyze the shortcomings in the development of each city, and to provide a scientific basis for the improvement of its construction level. Methods Grounding on the "General Office of the People's Government of Shandong Province on the issuance of the Shandong Province Action Plan for the Construction of "Internet + Medical Health" Demonstration Province (2019-2020)" (hereinafter referred to as "Action Plan") and the "Structure-Process-Results" model, we developed the "Internet + Medical Health" evaluation index system. The present situation of "Internet + Medical Health" construction in 16 Cities of Shandong Province was evaluated and compared through the entropy weight-TOPSIS method and comprehensive index method. Results The status quo of "Internet + Medical Health" in 16 Cities of Shandong Province is good, and significant differences were found among Cities. The average comprehensive evaluation index of municipal units was 0.545, of which the city with the best development status was H City, with an assessment index of 0.791, and the lowest was City I, whose evaluation index was 0.167. The average comprehensive evaluation index of medical institutions in various cities was 0.662, of which the best-developed city was H City, with an assessment index of 0.977, and the lowest city with an assessment index of 0.123 was City I. Conclusions The "Internet + Medical Health" evaluation index established by the "Structure-Process-Results" model combined with the entropy weight-TOPSIS method can objectively and comprehensively evaluate the development of "Internet + medical health". Our results provide the scientific basis for the construction of the "Internet + Medical Health" model province in Shandong Province. -
表 1 “互联网+医疗健康”评估指标体系
Table 1. Indicator system for the assessment of "Internet+ Medical health"
一级指标 二级指标 三级指标 市直单位 医疗机构 互联网 组织管理及保障 政策制定 政策实施 管理机构和人员设置 管理机构和人员设置 协作机制 督导检查 互联网诊疗监管规范 计划执行 电子健康卡创新应用 “互联网+医疗服务”建设 “云急救”综合救治服务 医疗服务流程优化 远程医疗服务体系建设 电子健康卡创新应用 “互联网+”医疗保障结算服务 检查检验结果查阅共享 异地就医直接结算服务 “云急救”综合救治服务 居民电子健康档案 居民电子健康档案 在线便捷有效签约服务 在线便捷有效签约服务 “互联网+”健康管理服务创新 “互联网+”健康管理服务创新 互联网健康咨询信息平台建设 互联网健康咨询信息平台建设 医疗健康人工智能技术发展 医疗健康人工智能技术发展 执行效果 信息系统建设 信息系统建设 项目满意度 居民满意度 表 2 “互联网+医疗健康”评估指数排序
Table 2. Index ranking for the assessment of "Internet+ Medical Health"
城市 市直单位 医疗机构 指数中位数 排名 指数中位数 排名 A 0.642 7 0.777 7 B 0.436 12 0.483 12 C 0.540 9 0.728 9 D 0.771 4 0.838 4 E 0.772 3 0.842 3 F 0.190 15 0.368 15 G 0.713 5 0.831 5 H 0.791 1 0.977 1 I 0.167 16 0.123 16 J 0.428 13 0.468 13 K 0.784 2 0.917 2 L 0.570 8 0.747 8 M 0.465 11 0.639 11 N 0.207 14 0.396 14 O 0.713 6 0.820 6 P 0.523 10 0.645 10 表 3 山东省16个城市市直单位二级指标评估指数状况
Table 3. The status of the secondary indicator assessment index for muniCipal units in 16 Cities of Shandong Province
城市 组织管理及保障 计划执行 执行效果 A 0.583 0.704 0.762 B 0.386 0.453 0.746 C 0.336 0.705 0.917 D 0.892 0.821 0.591 E 0.762 0.775 0.749 F 0.239 0.356 0.329 G 0.962 0.613 0.544 H 0.962 0.544 0.918 I 0.275 0.267 0.347 J 0.554 0.445 0.445 K 0.731 0.739 0.896 L 0.731 0.421 0.620 M 0.438 0.496 0.700 N 0.429 0.173 0.236 O 0.592 0.786 1.000 P 0.323 0.712 0.849 表 4 山东省16个城市医疗机构二级指标评估指数状况
Table 4. The status of the secondary indicator assessment index for Medical Institutions in 16 cities in Shandong Province
城市 组织管理及保障 计划执行 执行效果 A 0.728 0.513 0.472 B 0.484 0.247 0.415 C 0.747 0.798 0.610 D 0.917 0.196 0.382 E 0.838 0.633 0.564 F 0.397 0.274 0.275 G 0.978 0.389 0.467 H 0.821 0.430 0.550 I 0.468 0.156 0.187 J 0.369 0.190 0.324 K 0.842 0.402 0.564 L 0.645 0.403 0.381 M 0.777 0.369 0.413 N 0.124 0.254 0.223 O 0.832 0.361 0.510 P 0.640 0.234 0.370 表 5 “互联网+医疗健康”二级评估指标权重
Table 5. Weighting of secondary assessment indicators for " Internet+ Medical Health "
二级指标 市直单位 医疗机构 组织管理保障(结构) 0.406 0.328 计划执行(过程) 0.340 0.408 执行效果(结果) 0.254 0.264 -
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