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基于DEA的三级公立医院手术科室效率研究

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目的 中国公立医院进入高质量发展的新时代,各医院手术数量不断攀升,管理部门亟需引进一套科学评价手术科室资源效率的工具,促使医院充分利用现有手术资源。方法 数据包络分析法(data envelopment anal-ysis,DEA)对投入产出效率进行评价。以中国首批高质量发展试点单位北京市某三甲医院为例,投入量为手术科室的医护人数、床位数量、专用设备原值,产出量为经过CMI校正的手术量和出院人数。结果 通过DEA模型分析,发现该医院只有K7、K9两个科室实现DEA有效,K1、K2纯技术效率过低,说明未充分利用现有手术资源。从规模效益上看,K3、K6处于递减状态,K7、K9不变,其余科室递增。通过Malmquist指数对技术效率和规模效率进行动态评价,结果显示,除新冠疫情影响期间外,其余期间均处于全要素增长率递增状态。文章也计算了各投入产出的松弛变量,精确得出应调整的生产资料投入值和产出工作量的数值。结论 案例医院各手术科室效率参差不齐,决策层应对未充分利用手术资源的科室给予指导;对实现DEA有效的科室,在手术资源分配上给予适当倾斜。
Study on the Efficiency of Surgical Departments in Tertiary Public Hospitals Based on Data Envelopment Analysis
Objective China's public hospitals have entered a new era of high-quality development,and the number of operations in each hospital is rising.The management department urgently needs to introduce a set of tools to scientifically evaluate the resource efficiency of the operating department,so as to urge hospitals to make full use of existing surgical resources.Methods Data envelopment analysis(DEA)could be used to evaluate the input-output ef-ficiency.This paper took one of the first batch of high-quality development pilot hospitals in Beijing as an exam-ple.The input was the number of doctors and nurses in the operating department,the number of beds,and the origi-nal value of special equipment,and the output was the number of operations and discharges corrected by CMI.Results Through DEA model analysis,it found that only K7 and K9 departments in the hospital achieved DEA ef-fectiveness.The pure technical efficiency of K1 and K2 was too low,indicating that the existing surgical resources were not fully utilized.From the perspective of scale benefit,K3 and K6 were in a decreasing state,K7 and K9 re-mained unchanged,and other departments were increasing.The Malmquist index was used to dynamically evaluate the technical efficiency and scale efficiency.The results showed that except for the period affected by the COVID-19 epidemic,the growth rate of all factors was increasing in other periods.This paper also calculated the relaxation vari-ables of each input and output,and accurately obtains the values of the input value of the means of production and the output workload that should be adjusted.Conclusion The efficiency of the operating departments in the hospital is uneven,and the decision-making level should give guidance to the departments that do not make full use of the surgi-cal resources.For departments that can achieve effective DEA,appropriate preference should be given to the alloca-tion of surgical resources.

Public hospitalHigh quality developmentData envelopment analysisMalmquist IndexSurgical resource efficiency

周锐、黄宇、张永勤

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首都医科大学附属北京天坛医院,北京,100070

公立医院 高质量发展 数据包络分析法 Malmquist指数 手术资源效率

首都医科大学附属北京天坛医院科研基金项目

TYGL202215

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(2)
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