| 引用本文：韦倩晨, 袁蓓蓓, 徐进, 何平, 李梓齐, 徐晗艺, 孟庆跃.医疗卫生服务连续性指数构建研究[J].中国卫生政策研究,2022,15(11):11-16 |
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| 医疗卫生服务连续性指数构建研究 |
| 投稿时间：2022-07-22 修订日期：2022-09-30 PDF全文浏览 HTML全文浏览 |
| 韦倩晨1,2, 袁蓓蓓2, 徐进2, 何平2, 李梓齐2, 徐晗艺2, 孟庆跃2 |
1. 北京大学公共卫生学院 北京 100191;
2. 北京大学中国卫生发展研究中心 北京 100191 |
| 摘要:本研究基于卫生服务连续性概念框架，通过文献研究、专家咨询等，从关系连续性、信息连续性、管理连续性三个维度构建包含6个分项指标、10个基础指标的卫生服务连续性评价指标体系，采用层次分析法确定指标权重，构造卫生服务连续性指数。利用广西两县的实证数据，采用克朗巴赫α指数、因子分析等方法对该测量工具的信度、效度及区分度进行了检验，结果表明该指数具有较强的一致性和有效性。本研究从需方视角出发，探索构建了科学有效的卫生服务连续性综合评价方法，为卫生服务连续性的讨论由定性分析向定量测度拓展进行了初步探索，为优化卫生服务体系、提高卫生服务连续性提供了科学依据与参考，具有较强的政策意义。 |
| 关键词:卫生服务连续性 综合评价 测量指标 层次分析法 |
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| Study on constructing continuity index of health services |
| WEI Qian-chen1,2, YUAN Bei-bei2, XU Jin2, HE Ping2, LI Z-iqi2, XU Han-yi2, MENG Qing-yue2 |
1. School of Public Health, Peking University, Beijing 100191, China;
2. China Center for Health Development Studies, Peking University, Beijing 100191, China |
| Abstract:Through literature research and expert consultation, this study constructs continuity index for assessing health services from dimensions of relationship continuity, information continuity and management continuity, containing 6 sub-indicators and 10 basic indicators on the basis of the conceptual framework of continuity of health care. Weights of indicators are decided in accordance with analytic hierarchy process (AHP) to construct the continuity index. The study is based on the empirical data of two counties in Guangxi, while the reliability, validity and discrimination of the measurement tool are tested with Cronbach's α index and factor analysis. Results show strong consistency and validity of the continuity index. The study explores and constructs comprehensive evaluation method for measuring continuity of care from the perspective of demand, which is proved scientific and effective. This is not only a preliminary exploration to expand discussion concerning health service continuity from qualitative analysis to quantitative measurement, but also provides scientific evidence and reference to optimizing health service system and improving continuity of health care, which carries certain significance for policymaking. |
| Key words:Continuity of health services Comprehensive evaluation Measurements Analytic hierarchy process |
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