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基于全局熵值法模型的健康北京行动发展指数测度及障碍度诊断

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目的 综合评价健康北京行动发展现状及诊断影响健康北京行动发展的障碍因子。方法 基于所构建的健康北京行动发展指数评价指标体系,收集北京市2020-2022年相关指标数据,应用全局熵值法模型和指数功效函数测度健康北京行动发展指数,结合障碍度模型对健康北京行动发展现状进行"病理诊断"。结果 健康北京行动发展指数总体呈上升趋势,年均增长率为1。44%,增长幅度最大的区达到7。16%,各区间、具体至每个区各维度间存在发展不均衡的问题。健康生活(32。48%)和健康服务(30。69%)对健康北京行动发展水平的影响较大,而健康水平(11。65%)影响最小。每千常住人口执业(助理)医师数、人均体育场地面积、政府卫生支出占财政支出的比重、人均公园绿地面积及国家学生体质健康达标优良率等是影响健康北京行动均衡发展的主要障碍因子。结论 健康北京行动取得积极成效,在单项类别上,各区仍存在各自的强项和短板弱项,卫生资源配置均衡性和健康环境是阻碍健康北京行动发展的主要因素。
Healthy Beijing Initiative development index measurement and obstacle degree diagnosis based on global entropy model
Objective To comprehensively evaluate the development status of Healthy Beijing Initiative,and diagnose obstacles that affect the development of Healthy Beijing Initiative.Methods Based on the established Healthy Beijing Initiative development index evaluation index system,relevant index data of Beijing from 2020 to 2022 were collected.The global entropy method model and exponential effective function were used to measure Healthy Beijing Initiative development index,and obstacle degree model was used to make"pathological diagnosis"of the development status of Healthy Beijing Initiative.Results The development index of Healthy Beijing Initiative showed an overall upward trend,with an average annual growth rate of 1.44%,and the district with the largest growth rate reached 7.16%.There were problems of unbalanced development among the districts and among the dimensions of each district.Health life(32.48%)and health service(30.69%)had greater impact on development level of Healthy Beijing Initiative,while health level(11.65%)had the least.The number of practicing(assistant)physicians per thousand residents,the per capita area of sports venues,the proportion of government health expenditure in fiscal expenditure,the per capita area of park green space,and the excellent and good rate of students'physical fitness and health were the main obstacles to balanced development of Healthy Beijing Initiative.Conclusion Healthy Beijing Initiative has achieved positive results,but the districts still have their own strengths and weaknesses in individual categories.The balanced allocation of health resources and health environment are the most important factors hindering the development of Healthy Beijing Initiative.

Healthy Beijing InitiativeGlobal entropy modelObstacle degree diagnosis

程久、冯芮华、崔月颖、王溪、王艺霏、吕英豪

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北京协和医学院/中国医学科学院/医学信息研究所/图书馆,北京 100020

中国医学科学院北京协和医学院医学信息研究所卫生体系与政策研究中心,北京 100020

深圳市卫生健康发展研究和数据管理中心,广东 深圳 518000

健康北京行动 全局熵值法 障碍度诊断

北京市社会科学基金重点项目

23JCB042

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(27)