Medical Education Management ›› 2024, Vol. 10 ›› Issue (2): 209-214.doi: 10.3969/j.issn.2096-045X.2024.02.014

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Evaluation of the implementation effect of hierarchical healthcare of city vertical medical consortium with the application of weighted TOPSIS method

Wu Mian1, Tian Xin2, Xin Youqing3*   

  1. 1. Party Committee Office, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China; 2. Beijing Ditan Hespital, Capital Medical University, Beijing 100015, China; 3. Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2023-04-03 Online:2024-04-20 Published:2024-05-11

Abstract: Objective To evaluate the implementation effect of graded diagnosis and treatment of urban longitudinal medical consortium formed by tertiary hospital and primary health care institutions from the dimensions of primary consultation, two-way referrals, acute and chronic disease and up-down linkage, and provide references for building a multi-mode medical consortium service system in different environments.Methods Early in the research, the Delphi method and the analytic hierarchy process were used to construct an evaluation index system of graded diagnosis and treatment effect, and the weighted TOPSIS method was used to horizontally compare the graded diagnosis and treatment effects of samples, and the ranking results were obtained after comprehensive evaluation.Results The results based on weighted TOPSIS method for evaluating the implementation effect of graded diagnosis and treatment were consistent with the actual situation. Ci values were 0.515 7, 0.542 3, 0.456 4 respectively.Conclusion To build city vertical medical consortiums requires grid layout management. Primary healthcare institutions should be clearly aware of their functional positioning. According to the distribution and characteristics of community health centers' resources, a multi-mode cooperation mechanism is formed to further promote the implementation of the hierarchical diagnosis and treatment system.

Key words: hierarchical medical system, effect evaluation, weighted TOPSIS method

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