首页|基于社会网络可视化和TOPSIS评价的广西医联体建设研究

基于社会网络可视化和TOPSIS评价的广西医联体建设研究

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目的 分析广西在医联体建设过程中存在的问题,探讨解决路径.方法 使用文献分析法归纳相关问题,运用社会网络分析法对高频问题(频次≥2)进行中心度分析和可视化,结合TOPSIS评价对中心度指标进行综合排名.结果 共获取27篇参考文献,总结出广西医联体建设发展中存在基层卫生能力薄弱、分级诊疗工作推进缓慢等问题;经TOPSIS评价,排名前3位的是基层医疗卫生服务能力薄弱(Ci=1.000)、医联体内信息化建设落后(Ci=0.537)、医联体上下级医院存在利益冲突(Ci=0.482).结论 提升基层医疗卫生服务能力,完善医联体内部利益分配机制,推进信息平台一体化建设,提升基层医疗机构的综合诊疗能力,实现医联体高质量发展.
Research on the construction of medical consortium in Guangxi based on social network visualization and TOPSIS evaluation
Objective To analyze the problems existing in the construction process of the medical consor-tium in Guangxi and explore the solutions.Methods The literature analysis method was employed to sum-marize relevant problems.The social network analysis method was applied to conduct centrality analysis and visualization on high-frequency problems(frequency≥2).Combined with the TOPSIS evaluation,a compre-hensive ranking of the centrality indicators was carried out.Results A total of 27 references were obtained to summarize the problems such as weak primary healthcare capabilities and slow progress in the work of hierar-chical diagnosis and treatment in the construction and development of the medical consortium in Guangxi.The top 3 ranked by TOPSIS evaluation were weak primary medical and health service capabilities(Ci=1.000),backward information construction within the medical consortium(Ci=0.537),and interest conflicts between hospitals at different levels within the medical consortium(Ci=0.482).Conclusion It is necessary to en-hance the primary medical and health service capabilities,improve the internal interest distribution mechanism of the medical consortium,promote the integrated construction of the information platform,strengthen the comprehensive diagnosis and treatment capabilities of primary medical institutions,and achieve high-quality de-velopment of the medical consortium.

medical consortiumsocial network analysisTOPSIS evaluation

顾丽、张维诚、许世华

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右江民族医学院公共卫生与管理学院,广西 百色 533000

医联体 社会网络分析 TOPSIS评价

2024

右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
年,卷(期):2024.46(6)