Objective To analyze the utilization of surgical beds in a tertiary hospital in Fujian province,providing evidence in the categorized management and dynamic allocation of beds to increase the utilization efficiency.Methods Utilizing the Boston matrix as an analytical tool,this study conducted a comprehensive examination of the allocation of surgical beds in the hospital using the diagnosis-related groups(DRGs)-related indicators,including bed utilization rate,the case-mix index(CMI),and the time consumption index.Results With the time consumption index as the horizontal axis(X-axis)and the bed turnover rate as the vertical axis(Y-axis),the Boston matrix of bed use was mapped,which rationalized the categorization of the beds.Among the 19 surgical departments within the tertiary hospital,5 departments were categorized as efficiency-driven,9 as turnover departments,2 as bed-occupied departments,and 3 as having underutilized capacity.Additionally,the number of beds were deemed short in 2 departments,excessive in 9 departments,and balanced in 8 departments.Conclusion By integrating indicators of bed utilization with DRGs metrics,the assessment of bed allocation efficiency within departments can reflect the disease complexity among patients admitted,which helps optimize bed allocation and offers insights into the development of a unified hospital-wide bed management model.
关键词
波士顿矩阵/三级医院/外科/床位配置/病例组合指数(CMI)
Key words
Boston matrix/Tertiary hospital/Surgery/Bed allocation/Case-mix index(CMI)