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目的:通过辖区内9个乡镇、139家村卫生室的量化分级管理,探索基层医疗机构在执业过程中存在的问题;方法:利用逼近理想值(TOPSIS)法、秩和比(RSR)法对各乡镇量化分级结果进行排名分档,通过得分率了解存在的问题和薄弱环节;结果:量化评分B级以上单位占85.62%,C级单位占14.39%排名分档结果显示A4,A2两镇相对较差,A1,A6两镇评分等级较高,其余乡镇为中、良,各单位在其中机构环境、机构资质、消毒管理等方面得分率较低;结论:TOPSIS结合RSR相合能科学地真实反映量化分级的评价结果;应重点加强薄弱环节的监管,以促进医疗机构加强自身管理,提高医疗服务质量。
OBJECTIVE: To explore the problems existing in the practice of primary medical institutions through the quantitative management of the health clinics in 9 townships and 139 villages in the jurisdiction. Methods: By using TOPSIS and RSR, Results: Quantified scores of Grade B and above accounted for 85.62% and Grade C accounted for 14.39%. The results of sub-file ranking showed that A4 and A2 townships were relatively more Poor, A1, A6 two towns higher grading, and the remaining townships in the good, the units in which the institutional environment, institutional qualifications, disinfection management and other aspects of scoring rate lower; Conclusion: TOPSIS combined with RSR can truly reflect the quantitative Grading evaluation results; should focus on strengthening the supervision of the weak links to promote the medical institutions to strengthen their own management, improve the quality of medical services.