Li Zhi-Guang, Wei Hua
Department of Economics, School of Economics and Management, Anhui University of Chinese Medicine, Hefei, China.
Front Public Health. 2020 Sep 29;8:532420. doi: 10.3389/fpubh.2020.532420. eCollection 2020.
This paper constructs a comprehensive evaluation index of the traditional Chinese medicine (TCM) medical service system and summarizes the development of TCM medical services in China. We chose 31 provinces' TCM hospitals as research objects. The data were obtained from the Health Statistics Yearbook from 2013 to 2018 and from the National Statistics of Chinese Medicine from 2012 to 2017. The approaches to factor analysis and TOPSIS are used in this paper. It is found that the comprehensive evaluation indexes of the TCM medical service system can be divided into 4 first-level indicators and 14 second-level indicators. The development of the TCM medical service system in China is unbalanced and inadequate. North China and East China are generally superior to Northwest and Southwest China in terms of revenue and expenditure for TCM medical services. The per capita of medical resources in the Southwest and Northwest are stronger than those in Central and South China, but overall medical resources are weaker than those in East China and North China. TCM medical service institutions in East China, South China and Central China have achieved better service results and higher economic benefits with less resource input, which further indicates the efficient allocation of resources and the balanced operation of TCM medical service institutions. The development of China's TCM medical service system shows the imbalance and inadequacy of "East is strong, West is weak" and "South is superior, North is inferior."
本文构建了中医医疗服务体系综合评价指标，总结了我国中医医疗服务的发展情况。我们选取31个省份的中医医院作为研究对象。数据来源于2013年至2018年的《卫生统计年鉴》以及2012年至2017年的《全国中医药统计摘编》。本文采用了因子分析和TOPSIS法。研究发现，中医医疗服务体系综合评价指标可分为4个一级指标和14个二级指标。我国中医医疗服务体系发展不均衡、不充分。在中医医疗服务收支方面，华北和华东地区总体优于西北和西南地区。西南和西北地区的人均医疗资源强于中南地区，但总体医疗资源弱于华东和华北地区。华东、华南和华中地区的中医医疗服务机构以较少的资源投入取得了较好的服务效果和较高的经济效益，这进一步表明了资源的有效配置和中医医疗服务机构的均衡运营。我国中医医疗服务体系的发展呈现出“东强西弱”“南优北劣”的不均衡和不充分态势。
