Comprehensive assessment on implementation of national basic public health service package

ObjectiveTo analyze nationwide implementation situation of basic public health service package,and to provide evidences for scientific and reasonable assessment on the package.MethodsData were collected with a questionnaire survey among urban and rural residents and grass-root public health service personnel selected from 6 provinces locating in eastern,central and western region of China using multi-stage stratification random sampling method.Based on authenticity,effectiveness,feasibility,and satisfaction of 11 items of the national basic public health services,this study applied technique for order preference by similarity to ideal solution(TOPSIS)method and adopted entropy weight to synthetically evaluate implementation of the package in each of the provinces.ResultsEligible questionnaires were collected from 7 077 families and 930 grass-root public health service personnel;the weights of the 11 items of national basic public health services were 0.292,0.037,0.021,0.050,0.104,0.158,0.059,0.044,0.132,0.034,and 0.069,respectively.According the combined evaluative score of TOPSIS,the rank order for effective implementation of the package among the 6 provinces was Shandong,Liaoning,Anhui,Henan,Shanxi,and Ningxia from high to low.ConclusionThere is a significant disequilibrium among different regions and among various services in the implementation of national basic public health services.