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目的:研究福建省卫生政策下放(“放权”)调研现场10个卫生院卫生服务指标(业务收入比重、门急诊数和住院数等)的相互关系,为提高卫生服务水平提供参考。方法:调查指标据其百分位数分为3个水平。以SPSS软件包中较新颖的对应分析(ANACOR)与同质分析(HOMALS)进行数据处理与绘图。结果:对应分析表明,“业务收入比重”与“门急诊数”、“住院数”关系密切(线性x~2值P<0.05);同质分析表明,“业务收入比重”与“门急诊数”、“住院数”3个变量的3个水平间关系也密切。“业务收入比重”与“总收入”随“门急诊数”、“住院数”的增加而增加。结论:对应分析与同质分析法不但能像x~2检验那样分析各指标不同分类间的关系,而且还能以2维、3维坐标图更直观、形象,更易理解地表达,但涉及的统计学知识较复杂是其难点。1993年“放权”以来,乡镇卫主院的“业务收入比重”与“总收入”随“门急诊数”的增加而增加;增加“门急诊数”并收治住院,可增加“业务收入比重”,更可提高卫技人员的积极性,使卫生院的运转进入良性循环。
Objective: To study the interrelationships among the health service indicators (proportion of business income, number of emergency departments, number of hospitalizations, etc.) of 10 health centers in the field of decentralization (“decentralization”) of health research in Fujian province, and provide reference for improving the level of health services. Methods: The survey indicators were divided into three levels according to their percentiles. The data processing and drawing were performed using the novel correspondence analysis (ANACOR) and homogeneity analysis (HOMALS) in the SPSS software package. Results: Corresponding analysis showed that the proportion of “service revenue” was closely related to “outpatient emergency number” and “hospitalization number” (linear x~2 value P<0.05); homogenous analysis showed that “the proportion of business income” and “outpatient emergency number The relationship between the three levels of the three variables of “” and “hospitalization” is also close. “Proportion of business income” and “total income” increased with the increase in the number of outpatient departments and hospitalizations. Conclusion: Correspondence analysis and homogeneity analysis can not only analyze the relationship between different classifications of various indicators like the x~2 test, but also express the two-dimensional and three-dimensional coordinate diagrams more intuitively, visually, and more easily, but the involved The complexity of statistical knowledge is its difficulty. Since “decentralization” in 1993, the “proportion of business revenue” and “total income” of the township and township hospital’s main hospital have increased with the increase in the number of outpatient departments; increasing the “number of outpatient departments” and hospitalization can increase the proportion of business income. It can also increase the enthusiasm of health technicians and make the operation of hospitals enter a virtuous circle.