首页|手术科室运营效率评估及影响因素研究——基于DEA-Tobit模型

手术科室运营效率评估及影响因素研究——基于DEA-Tobit模型

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目的:评估医院手术科室的运营效率及影响因素,优化医疗资源配置。方法:运用数据包络分析法(DEA),结合传统运营评价指标和疾病诊断相关分类(DRG)相关指标,综合评价某三甲医院2023年1-9月手术科室的投入产出效率,并进行松弛度分析和Tobit回归,得出改进目标和影响因素。结果:60%的手术科室DEA有效,20%的科室技术有效,20%的科室技术和规模均无效;Tobit回归结果表明,实有床位、医技人员数、万元以上设备台数、出院人次、手术占比、总权重均对综合技术效率水平产生显著影响。结论:医疗机构应转换思维,做好差异化管理,灵活调整卫生资源配置,结合DEA等方法及DRG相关指标补充完善院内绩效评估体系。
Evaluation and Influencing Factors of Operational Efficiency of Medical Resources in Sur-gical Departments Based on DEA-Tobit Regression Model
Objective:To evaluate the operational efficiency and influencing factors of hospital surgical departments,and optimize the allocation of medical resources.Method:Data Envelopment Analysis(DEA)was used to comprehensively evaluate the input-out-put efficiency of the surgical department of a certain grade A tertiary hospital from January to September 2023,combining traditional operational evaluation indicators and disease diagnosis related classification(DRG)indicators.Relaxation analysis and Tobit regression were performed to identify improvement goals and influencing factors.Result:60%of surgical department DEA is effective,20%of de-partment technology is effective,and 20%of department technology and scale are ineffective.Tobit regression results show that the ac-tual number of beds,medical technicians,equipment units above 10 000 yuan,number of discharged patients,proportion of surgeries,and total weight all have a significant impact on the overall technical efficiency level.Conclusion:Medical institutions should trans-form their thinking,do a good job in differentiated management,flexibly adjust the allocation of health resources,and supplement and improve the hospital's performance evaluation system by combining DEA and other methods and DRG related indicators.

Medical ResourcesDEATobit RegressionOperational Efficiency

康周、马崇淇

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广元市中心医院病案统计科,四川 广元 628000

医疗资源 DEA Tobit回归 运营效率

四川省医院协会2023年医院管理科研专项资金项目

YG2328

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(7)
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