| 周涛,张巍,张显鹏,等.逼近理想解排序法与秩和比法模糊联合在放射诊疗服务综合评价中的应用[J].中华放射医学与防护杂志,2024,44(8):681-687.Zhou Tao,Zhang Wei,Zhang Xianpeng,et al.Application of fuzzy combination of TOPSIS method and rank sum ratio method to comprehensive evaluation of radiodiagnosis and radiotherapy services[J].Chin J Radiol Med Prot,2024,44(8):681-687 |
| 逼近理想解排序法与秩和比法模糊联合在放射诊疗服务综合评价中的应用 |
| Application of fuzzy combination of TOPSIS method and rank sum ratio method to comprehensive evaluation of radiodiagnosis and radiotherapy services |
| 投稿时间：2024-03-29 |
| DOI：10.3760/cma.j.cn112271-20240329-00113 |
| 中文关键词: 放射诊疗服务水平 综合评价 TOPSIS法 秩和比法 |
| 英文关键词:Level of radiodiagnosis and radiotherapy services Comprehensive evaluation TOPSIS method Rank sum ratio method |
| 基金项目:齐鲁卫生与健康领军人才项目(2021—2025) |
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| 中文摘要: |
| 目的 探索放射诊疗服务水平综合评价方法,并以山东省16市为例探讨其适用性。方法 根据2023年全省3 475家放射诊疗机构普查结果,运用逼近理想解排序(TOPSIS)法与秩和比(RSR)法加权模糊联合方法,选取放射诊疗机构数每百万人口、放射工作人员数每百万人口、放射诊疗设备数每百万人口、X射线诊断人次每千人口、介入人次每千人口、放射治疗人数每千人口、核医学诊疗人次每千人口等7项指标,对2023年山东省16市放射诊疗服务水平进行分析和综合评价。并分析各市放射诊疗服务水平与其人均国内生产总值(GDP)水平的相关性。结果 经TOPSIS法与秩和比法加权模糊联合分析发现,山东省各市放射诊疗服务水平发展不平衡,排名前3的城市为济南、东营、青岛,排名后3为菏泽、临沂、德州。另外,各市放射工作人员数每百万人口、X射线诊断人次每千人口、介入人次每千人口、加权模糊联合法得分、TOPSIS法得分和RSR得分与人均GDP水平均呈正相关性(r=0.597~0.750,P＜0.05)。结论 TOPSIS法与RSR法加权模糊联合应用,能够客观地反映山东省不同市的放射诊疗服务水平,适用于放射诊疗服务水平综合评价,具备一定的推广应用价值。 |
| 英文摘要: |
| Objective To explore a comprehensive evaluation method for radiodiagnosis and radiotherapy services, with 16 cities in Shandong province as a case study. Methods The survey data from 3 475 radiodiagnosis and radiotherapy facilities in the province in 2023 were analyzed using a weighted fuzzy combined approach of the TOPSIS method and rank sum ratio method. Seven key indicators were selected, including the number of radiodiagnosis and radiotherapy facilities per million population, the number of radiological workers per million population, the number of items of radiodiagnosis and radiotherapy equipment per million population, the number of X-ray diagnoses per thousand population, the number of interventions per thousand population, the number of radiotherapies per thousand population, and the number of nuclear medicine diagnoses and therapies per thousand population, to provide a comprehensive assessment of the quality of radiodiagnosis and radiotherapy services in the 16 cities of Shandong province in 2023. The study also explored the association between the quality of radiodiagnosis and radiotherapy services in each city and its per capita GDP. Results The findings indicated an unbalanced development of radiodiagnosis and radiotherapy services in Shandong province, with Jinan, Dongying, and Qingdao ranking the top three cities, and Heze, Linyi, and Dezhou ranking the bottom three. Furthermore, the number of radiological workers per million population, the number of X-ray diagnoses per thousand population, the number of interventions per thousand population, and the outcomes of the weighted fuzzy combination method, TOPSIS method, and RSR were shown to be positively correlated with the per capita GDP in each city (r=0.597-0.750,P < 0.05). Conclusions The combined application of the TOPSIS method and rank sum ratio method offers an impartial evaluation of radiodiagnosis and radiotherapy services across various cities in Shandong province. This method is considered appropriate for the comprehensive assessment of radiodiagnosis and radiotherapy services and holds practical significance for broader implementation. |
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