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[Evaluation index system for equalization of basic public health services].

Yong Yu1, Lijian Tao, Tubao Yang

  • 1School of Public Health, Central South University, Changsha 410078; College of Public Administration and Law, Hunan Agricultural University, Changsha 410128, China.

Zhong Nan Da Xue Xue Bao. Yi Xue Ban = Journal of Central South University. Medical Sciences
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This study developed a reliable and valid evaluation index system for basic public health services. The system can objectively assess the equalization of public health services across different regions.

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Area of Science:

  • Public Health
  • Health Services Research
  • Health Policy

Background:

  • Ensuring equitable access to basic public health services is a critical goal for health systems worldwide.
  • Developing robust evaluation tools is essential for monitoring and improving service equalization.
  • Existing evaluation methods may not fully capture the multifaceted nature of public health service delivery.

Purpose of the Study:

  • To establish a comprehensive evaluation index system for the equalization of basic public health services.
  • To validate the reliability and applicability of the developed index system in a real-world setting.
  • To provide an objective tool for assessing the current status of public health service equalization.

Main Methods:

  • Development of an index system through expert-scored evaluation.
  • Identification of data sources and collection methods for each indicator.
  • Application of Analytic Hierarchy Process (AHP) and Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS) for comprehensive evaluation.
  • Testing reliability (Cronbach's alpha) and validity (factor analysis) of the index system.

Main Results:

  • The evaluation index system demonstrated good reliability with a Cronbach's alpha coefficient of 0.750.
  • Validity testing, using factor analysis, extracted 5 common factors with a cumulative contribution rate of 89.32%.
  • AHP and TOPSIS methods yielded similar ranking results for public health service equalization across nine counties, indicating consistent evaluation outcomes.

Conclusions:

  • The established evaluation index system for basic public health services possesses strong validity and reliability.
  • The system is suitable for objective analysis of the current status of basic public health service equalization.
  • This tool can aid policymakers and health administrators in identifying disparities and improving service equity.