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苏州市三级医院医疗卫生资源配置效率分析

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目的 分析2017-2022年苏州市26家三级医院医疗卫生资源配置效率,为有关部门合理统筹卫生资源配置、区域卫生规划及医院管理水平提供定量分析和意见建议。方法 选取卫生技术人员数、卫生机构实有床位数和卫生总费用作为投入指标,诊疗人次和出院人数作为产出指标,分别采用SBM模型和SBM窗口模型进行效率测度。结果 受突发公共卫生事件影响,苏州市三级医院医疗资源配置效率呈先下降后上升趋势。两种模型下,26家医院效率的平均水平线分别为0。687和0。707,SBM窗口模型下有19家医院(占比73%)在平均水平线附近及以上。结论 两种模型结果协同印证,苏州市三级医院效率总体较为有效。可通过综合考虑健康需求,统筹规划医疗资源布局;利用信息化手段,创新医疗服务模式;加强内涵建设,改进管理水平等方式进一步提升医疗资源配置和利用效率,促进三级医院高质量发展。
Evaluation of medical and health resource allocation efficiency in tertiary hospitals of Suzhou
Objective To analyze the allocation efficiency of medical and health resources in 26 tertiary hospitals in Suzhou from 2017 to 2022 and perform quantitative analysis in order to provide suggestions for relevant departments to rationally coordinate the health resources allocation,regional health planning and hospital management.Methods The number of health technicians,the number of beds in health institutions and the total health expenditure were selected as input indicators,while the number of diagnostic and treatment visits and the number of discharged patients were selected as output indicators.The efficiency was measured by the SBM(Slack-Based Measure)model and the SBM window model respectively.Results Influenced by public health emergencies,the allocation efficiency of medical resources in tertiary hospitals in Suzhou city decreased first and then started to increase Under the two models,the average efficiency scores of 26 hospitals were 0.687 and 0.707,respectively.Notably,under the SBM window model,19 hospitals(73%)achieved efficiency scores near or above the average.Conclusion The two models present a conclusion that the overall efficiency of the tertiary hospitals in Suzhou is generally effective.To further enhance the allo-cation and utilization of medical resources,it is suggested that a comprehensive consideration of health needs guide the planning of medical resource distribution.Leveraging information technology to innovate medical service models,and strengthening internal de-velopment and management practices are essential strategies for promoting high-quality development in tertiary hospitals.

Health resourcesAllocation efficiencySlack-based measure(SBM)SBM window analysis

王晓、董刚、胡一河、朱小红、王清华、汤景云

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苏州市疾病预防控制中心 江苏苏州 215137

安徽财经大学//安徽经济社会发展研究院 安徽蚌埠 233040

苏州市公共卫生高等研究院 江苏苏州 215031

苏州市卫生计生统计信息中心 江苏苏州 215002

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卫生资源 配置效率 SBM模型 SBM窗口模型

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(8)