The application of cost-effectiveness analysis and TOPSIS method in the evaluation of basic public health services in provincial region:A study of Hubei province / 中国卫生政策研究

ABSTRACT

Objective:To comprehensively evaluate the provincial basic public health service projects and put forward feasible policy recommendations for further improving the basic public health service projects and propose a more scientific and reasonable evaluation method of the implementation status of the projects. Methods:stratified ran-dom sampling method was used to obtain the data on basic public health service information system through institu-tional survey,and relevant policy documents were obtained from governmental institutions' websites. Through Delphi method ( -expert consultations),combined with analytic hierarchy process, evaluation indicators and weights were determined;and cost effect analysis and weighted TOPSIS method were applied to comparatively evaluate the perform-ance of basic public health service projects vertically and horizontally, respectively. Results: The actual per capita project subsidy standard was found to be low;the cost effectiveness of some projects has improved,especially the standard-ized health management of patients with chronic diseases;and there is still a relatively large disparity of the performance of basic public health service in different counties with the highest Ci value is 0.7811 while the lowest is only 0.2694. Con-clusions and SuggestionsBased on the evaluation analysis of this study,it was found that it is very meaningful to integrate the floating population into the budget scope and establish a dynamic growth mechanism;optimize the performance apprais-al program and comprehensively applying cost effect analysis and TOPSIS method to overcome the defects of a single meth-od;and increase fiscal investment to promote the construction of primary medical institutions.