Abstract: Background The National basic public health service project has been in operation for more than 10 years since its inception in 2009，and the equalization of basic public health services is one of the most urgent needs of floating population in China. Objective To evaluate the basic public health services quality of floating population in China，find out existing problems and provide reference for improving the services of floating population. Methods The quality of basic public health services of the floating population in 31 provinces（municipalities and autonomous regions，excluding Hong Kong，Macao and Taiwan）was comprehensively evaluated by entropy-weight TOPSIS（Technique for Order Preference by Similarity to an Ideal Solution）method using the data of China Migrants Dynamic Survey from 2015 to 2018，and the main impact indicators of the evaluation results were analyzed by multiple regression. Using Rank Sum Ratio method to grade the evaluation results. Results The results of entropy-weight TOPSIS method showed that the Ci values of 31 provinces（municipalities and autonomous regions）range from 0.217 to 0.759. The main influencing indicators of the evaluation results were the rate of health records establishment，the rate of type II diabetes patients management，the rate of health check-up for children aged 0-6，the rate of health check up for elderly aged 65 and above，the rate of health handbook establishment for children aged 0-6，the rate of visit within 28 days after delivery，the coverage rate of free pre-pregnancy health check-up for target population，the acceptance rate of health education services，the rate of pregnancy registration within 12 weeks，the basic free contraceptive coverage rate，the rate of basic free contraceptive surgical services，and hospital delivery rate. According to the RSR method，the results of evaluation were divided into 4 grades，the number of provinces（municipalities and autonomous regions）ranked as excellent，good，medium and poor was 2，15，12 and 2 respectively. The results of regional comparison showed a pattern of “Central > Western > Northeast > Eastern”. Conclusion The quality of basic public health services is regionally and interprovincially uneven. We should strengthen the work of health system documentation，hypertension and diabetes management，physical examination of the elderly and children. In particular，the three major urban agglomerations in the eastern region and some mega-cities urgently need to improve the basic public health services quality of Chinese floating population.

Key words: Population health management, Floating population, Basic public health services, Health service evaluation, TOPSIS method, RSR method

摘要： 背景 国家基本公共卫生服务项目自2009年启动以来已开展10余年，基本公共卫生服务均等化是中国流动人口最迫切的需求之一。目的 对我国流动人口基本公共卫生服务质量进行综合评价，找出存在的问题，为提升基本公共卫生服务水平提供参考。方法 基于2015—2018年中国流动人口动态监测调查数据，运用熵权TOPSIS法对我国31个省（市、自治区、不含港澳台）的流动人口基本公共卫生服务质量进行综合评价，应用多元逐步回归分析评价结果的主要影响指标，结合秩和比法对评价结果进行分档。结果 熵权TOPSIS法结果显示各省Ci值在0.217~0.759之间。评价结果的主要影响指标分别是健康档案建档率、II型糖尿病患者管理率、0~6岁儿童健康体检率、65岁及以上老年人健康体检率、0~6岁儿童保健手册建册率、产后28d内访视率、免费孕前优生健康检查目标人群覆盖率、健康教育服务接受率、早孕建册率、基本免费避孕药具发放覆盖率、基本免费避孕手术服务率、住院分娩率。结合秩和比法将评价结果分为4档，优秀、良好、中等、较差等次的省（市、自治区）分别为2个、15个、12个和2个，地区评价结果呈现出“中部>西部>东北>东部”的特点。结论 流动人口基本公共卫生服务质量存在地区和省际差距，各地需加强流动人口健康建档、高血压糖尿病管理、老年人和儿童体检等薄弱服务项目，尤其是东部地区三大城市群及部分超大城市亟需提升流动人口基本公共卫生服务质量。

关键词: 人口健康管理, 流动人口, 基本公共卫生服务, 卫生服务评价, TOPSIS 法, RSR 法