兰州大学学报（医学版）2025，Vol.51Issue(9)：46-55,10.DOI:10.13885/j.issn.2097-681X.2025.09.007
基于熵权TOPSIS法和RSR法模糊联合模型的社区卫生服务质量评价
Evaluation of basic public health service quality of community health service based on a fuzzy combination of entropy weight TOPSIS method and RSR method
摘要
Abstract
Objective To evaluate the basic public health service quality of community health service institu-tions in Chengguan District of Lanzhou City in 2023,and to provide reference for promoting the development of community quality,efficiency and equality.Methods Based on 16 evaluation indexes(V1-V16),the basic public health service quality of 100 community health service institutions was comprehensively evaluated via the entropy weight method,technique for order preference by similarity to ideal solution(TOPSIS)method,rank sum ratio(RSR)method and fuzzy combination method.Results The top three communities of service quality obtained by various evaluation methods were X55,X21 and X15.The last three communities obtained by the entropy weight TOPSIS method,0.5Ci+0.5RSR and 0.9Ci+0.1RSR fuzzy combination method were X85,X59 and X22.The last three communities obtained by RSR method and 0.1Ci+0.9RSR fuzzy combination method were X22,X59 and X85.Although the ranking results of the above methods were not exactly the same,the overall trend was consistent.Multiple linear regression results showed that 16 evaluation indexes had significant effects on Ci values(P<0.01).Among them,the coverage rate of eye care and vision examination for children aged 0-6 years,the rate of grass-roots standardized management services for patients with type 2 diabetes,and the rate of postpartum visits had a significant positive impact;the impact of standardized management rate,health record utilization rate and vaccination certification rate on patients with severe mental disorders was relatively small.Conclusions The fuzzy combination of TOPSIS method and RSR method can better evaluate the quality of community health service institutions.The quality of community health service institutions in Chengguan District of Lanzhou City is not balanced,and the implementation ef-fect for key populations is a key factor affecting the quality of basic public health services.关键词
基本公共卫生服务/熵权法/逼近理想解排序法/秩和比法/模糊联合/社区卫生服务Key words
basic public health services/entropy weight technique method/technique for order preference by similarity to ideal solution method/rank sum ratio method/fuzzy association/community health service分类
医药卫生引用本文复制引用
苏晓燕,郭霞,陈永聪,张青玉..基于熵权TOPSIS法和RSR法模糊联合模型的社区卫生服务质量评价[J].兰州大学学报（医学版）,2025,51(9):46-55,10.基金项目
中国社区卫生协会基金资助项目(2021-2-106) （2021-2-106）
