首页|TOPSIS法与波士顿矩阵在专科病种结构分析中的联合应用

TOPSIS法与波士顿矩阵在专科病种结构分析中的联合应用

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目的 对病种收治效益与医疗服务能力指标进行综合分析,为基于病种的专科运营管理提供思路。方法 应用TOPSIS法分别对病种医疗服务收入贡献情况、收入结构、每床日收入,以及出院患者手术/四级手术占比、DRG-CMI等指标进行综合评价,参照波士顿矩阵进行二维象限分析,确定专科运营优势病种。结果 以医院某专科 12种主要病种为分析对象,形成病种收治效益与医疗服务能力两方面维度的综合评分,根据评分绘制二维象限图,归纳各象限病种特点,明确对专科经济运行与技术难度评价均贡献较大的优势病种。结论 TOPSIS法与波士顿矩阵联合应用于专科运营分析,可帮助公立医院实现兼顾效益与难度的病种分类管理模式,优化病种收治结构,提升医疗资源利用率。
The combined application of topsis method and boston matrix in the analysis of specialized disease structure
Objective To make a comprehensive analysis of the index of benefit and medical service ability of disease,and provide references for the operation management of public hospital based on disease.Methods TOPSIS was used to compre-hensively evaluate the income contribution,income structure,daily income,the proportion of operation/grade 4 operation,DRG-CMI and other indexes.According to the Boston matrix,two-dimensional quadrant analysis was carried out to determine the dominant diseases in the operation management.Results Twelve main diseases in a hospital specialty were analyzed,and the comprehensive scores of two dimensions of benefit and medical service ability were formed.According to the scores,a two-dimen-sional quadrant map was drawn,and the characteristics of diseases in each quadrant were summarized to identify the dominant diseases that contribute greatly to the economic operation and technical difficulty evaluation of the specialty.Conclusion The combined application of TOPSIS and Boston matrix in specialty operation analysis can help public hospital to realize the classifica-tion management of disease balancing benefit and difficulty,so as to optimize the disease structure and improve the utilization rate of medical resources.

TOPSISBoston matrixDisease structureOperation analysis

姜德超、胡跃军、李秋红、叶毅彬、邹晨艺

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中山大学孙逸仙纪念医院 广东广州 510000

TOPSIS法 波士顿矩阵 病种结构 运营分析

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(7)