| 引用本文：张惠文, 荆丽梅, 许艺帆, 李水静.基于层次分析法的安宁疗护服务综合评价指标体系权重分析[J].中国卫生政策研究,2023,16(1):52-59 |
|
| 基于层次分析法的安宁疗护服务综合评价指标体系权重分析 |
| 投稿时间：2021-10-17 修订日期：2022-12-08 PDF全文浏览 HTML全文浏览 |
| 张惠文1, 荆丽梅1, 许艺帆1, 李水静2 |
1. 上海中医药大学 上海 201203;
2. 上海市卫生健康委员会 上海 200125 |
| 摘要:目的：在全国全面推进安宁疗护试点的背景下，通过层次分析法构建中观层面的安宁疗护服务质量和效果评价指标体系并量化权重系数，为试点综合评价提供科学工具。方法：依托“结构—过程—结果”框架，在前期研究基础上运用层次分析法科学计算指标体系各维度指标(3个一级、9个二级、25个三级和81个四级指标)权重系数。结果：结构权重(0.38)高于过程(0.30)和结果(0.32)；结构维度中机构制度保障(0.14)与资金支持(0.10)权重较高，过程维度中药占比(0.04)与公众教育(0.04)权重较高，结果维度中供方满意度(0.10)与次均费用(0.08)权重较高。政策保障和资金支持、镇痛药可及性及教育培训、患者负担与供需双方满意度等是安宁疗护发展需重点关注的指标。结论：基于专家咨询和层次分析法计算安宁疗护服务综合评价指标体系权重系数，可为我国安宁疗护试点服务质量和效果的客观量化评价提供理论工具，为深入分析试点发展瓶颈、促进服务规范化和均衡化提供科学依据。 |
| 关键词:安宁疗护 综合评价 权重系数 层次分析法 |
| 基金项目:上海市自然科学基金(22ZR1461400)；教育部人文社会科学研究规划基金(20YJAZH045)； 上海市哲学社会科学规划课题(2019BGL032)； 美国中华医学基金会公开竞争科研项目(20-286) |
|
| Weight analysis of the comprehensive evaluation index system of hospice care service based on analytic hierarchy process |
| ZHANG Hui-wen1, JING Li-mei1, XU Yi-fan1, LI Shui-jing2 |
1. Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;
2. Shanghai Municipal Health Commission, Shanghai 200125, China |
| Abstract:Objective: Under the background of national-level promotion of hospice care (HC) pilot runs in China, a evaluation index system of HC quality and effect was constructed at the meso-level with quantified weight coefficients through the analytic hierarchy process (AHP), which provides a scientific tool for the comprehensive evaluation of the pilot runs. Method: Based on the “structure-process-outcome” framework and previous research results, we used AHP to scientifically calculate the weight coefficients of each dimension index of the index system (including 3 first-level, 9 second-level, 25 third-level and 81 fourth-level indices). Result: The weight of the structure(0.38) is high than that of the process(0.30) and result(0.32). Institutional system guarantee (0.14) and financial support (0.10) have relatively high weights in the structural dimension, the proportion of drug sales in hospital avenue (0.04) and public education (0.04) have relatively high weights in the process dimension, while provider's degree of satisfaction (0.10) and average cost-per-service (0.08) have relatively high weights in the result dimension. The indices that need more attention in the development of hospice care include policy and financial support, accessibility to analgesics, education and training, patient burden, and degree of satisfaction on both supply and demand sides. Conclusion: Based on the expert consultation and AHP, the paper calculated the weight coefficients of the comprehensive evaluation index system of HC services, which can provide theoretical tools for the objective quantitative evaluation of the quality and effect of HC pilot runs in China, and also provide scientific references for analyzing bottlenecks in the development of HC pilot runs, and promoting standardization and balance in HC services. |
| Key words:Hospice Care Comprehensive Evaluation Weight Coefficients Analytic Hierarchy Process |
| 摘要点击次数: 1327 全文下载次数: 535 |
|
|
|
|
|
