西安市医养结合型养老服务水平综合评价
Comprehensive Evaluation on the Level of Medical-Care-Integrated Care for the Aged in Xi’an

21世纪以来，人口老龄化已成为全球发展趋势。根据第七次全国人口普查数据，西安市60岁及以上老人人数已达207.53万人，占比16.02%。随着社会老龄化程度的加深，老年人对社会化养老服务的需求越来越大。本研究首先选择了9个反映陕西省西安市医养结合型养老机构服务质量的指标，然后采用熵权-TOPSIS法和系统聚类分析法，得出这9项指标的熵权，并获得全面、准确的西安市医养结合型养老机构服务质量的评价结果；其次，通过TOPSIS综合评价法得出各个地区的养老服务质量评价排名；接着对不同区域的医养结合型养老机构服务质量进行系统聚类分析，通过聚类分析将西安市各个地区的服务质量分别分为I类(优秀)、II类(良好)、III类(一般)。根据研究结果显示，西安市各地区的77家医养结合型养老机构在服务质量方面表现出较大的差异，其服务质量与经济保障、人力保障有较大关系，部分地区医养结合型养老机构提供的医养结合服务较为单一。本研究可为今后西安市医养结合工作的开展提供方向。
Since the 21st century, population aging has become a global development trend. According to the seventh national population census data, there are 264 million elderly people aged 60 and above in China, accounting for approximately 18.7% of the total population. The number of elderly people aged 60 and above in Xi’an has reached 2.0753 million, accounting for 16.02%. With the deepening of social aging, the demand for socialized elderly care services among the elderly is increasing. This study first selected 9 indicators that reflect the service quality of medical and elderly care integrated elderly care institutions in Xi’an City, Shaanxi Province. Then, the entropy weight TOPSIS method and system clustering analysis method were used to obtain the entropy weight of these 9 indicators, and a comprehensive and accurate evaluation result of the service quality of medical and elderly care integrated elderly care institutions in Xi’an City was obtained; Secondly, the TOPSIS comprehensive evaluation method is used to obtain the ranking of the quality of elderly care services in various regions; Next, a systematic clustering analysis was conducted on the service quality of medical and elderly care institutions in different regions. Through clustering analysis, the service quality of each region in Xi’an was divided into Class I (excellent), Class II (good), and Class III (general). According to research results, there are significant differences in service quality among 77 medical and elderly care institutions in various regions of Xi’an City. The service quality is closely related to economic and human security, and in some areas, the medical and elderly care services provided by these institutions are relatively single. This study can provide direction for the future development of medical and elderly care integration in Xi’an city.