摘要
Abstract
Background The national basic public health service project has been in operation for more than 10 years since its inception in 2009,and the equalization of basic public health services is one of the most urgent needs of floating population in China.Objective To evaluate the basic public health services quality of floating population in China,find out existing problems and provide reference for improving the services of floating population.Methods The quality of basic public health services of the floating population in 31 provinces(direct-controlled municipalities,autonomous regions,excluding Hong Kong,Macao and Taiwan)was comprehensively evaluated by entropy-weight Technique for Order Preference by Similarity to an Ideal Solution(TOPSIS)method using the data of China Migrants Dynamic Survey from 2015 to 2018,and the main impact indicators of the evaluation results were analyzed by multiple regression.Using Rank Sum Ratio method to grade the evaluation results.Results The results of entropy-weight TOPSIS method showed that the Ci values of 31 provinces(direct-controlled municipalities,autonomous regions)range from 0.217 to 0.759.The main influencing indicators of the evaluation results were the rate of health records establishment,the rate of type 2 diabetes patients management,the rate of health check-up for children aged 0-6,the rate of health check-up for elderly aged 65 and above,the rate of health handbook establishment for children aged 0-6,the rate of visit within 28 days after delivery,the coverage rate of free pre-pregnancy health check-up for target population,the acceptance rate of health education services,the rate of pregnancy registration within 12 weeks,the basic free contraceptive coverage rate,the rate of basic free contraceptive surgical services,and hospital delivery rate.According to the RSR method,the results of evaluation were divided into 4 grades,the number of provinces(direct-controlled municipalities,autonomous regions)ranked as excellent,good,medium and poor was 2,15,12 and 2 respectively.The results of regional comparison showed a pattern of"Central>Western>Northeast>Eastern".Conclusion The quality of basic public health services is regionally and interprovincially uneven.We should strengthen the work of health system documentation,hypertension and diabetes management,physical examination of the elderly and children.In particular,the three major urban agglomerations in the eastern region and some mega-cities urgently need to improve the basic public health services quality of Chinese floating population.关键词
健康管理/流动人口/基本公共卫生服务/卫生服务评价/TOPSIS法/秩和比法Key words
Health management/Floating population/Basic public health services/Health service evaluation/TOPSIS method/RSR method分类
医药卫生
