基于TOPSIS法与RSR法模糊联合的中医类综合医院专科能力评价体系构建与应用

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中图分类号：R197.3 文献标识码：A

Abstract ObjectiveTo establish a scientific and reasonable evaluation system for the specialty capability of Traditional Chinese Medicine （TCM） comprehensive hospitals.MethodsA preliminary framework for the evaluation system was constructed through literature review and focus group discusion. The composition of evaluation indicators and their respective weights were determined through expert consultationand the analytic hierarchy process.The evaluation system was validated through appication using data colected and reported from four TCMcomprehensive hospitals，employing the TOPSIS method，the RSR method，and their fuzzy combined approach.ResultsTheconstructed evaluation system comprises four primary indicators，namely，TCM service capability，TCM clinical technical proficiency， medical quality，and developmental capability，along with 44 secondary indicators. Under allsimulated validation methods，hospital A ranked highest in specialty capability，while the rankings of the other hospitals varied.Conclusion The established evaluation system is capable ofobjectively asesing the specialtycapabilityof TCMcomprehensive hospitals，providing decision一making support for strengthening the construction of TCM specialty capability and enhancing the level of TCM specialty medical services.

Keywords Traditional Chinese Medicine Comprehensive Hospitals; Specialty Capability；Evaluation Indicators； the Fuzzy Combined Approach of TOPSIS and RSR Methods

First-author's address Shanghai Municipal Hospital of Traditional Chinese Medicine，Shanghai University of Traditional Chinese Medicine，Shanghai，2ooo71，China

临床专科作为现代医疗机构的核心组织形态，是以疾病诊疗链条为导向，通过整合多学科资源、重构医疗服务流程而形成的集约化诊疗平台。（剩余8346字）