首页|基于TOPSIS法和秩和比法模糊联合的三级公立医院外科绩效评价研究

基于TOPSIS法和秩和比法模糊联合的三级公立医院外科绩效评价研究

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目的 基于三级公立医院绩效考核相关指标对某三级甲等公立医院2024年第一季度外科医疗质量和运营效率进行回顾性分析,为医院手术科室发展提供建议.方法 利用加权TOPSIS法、秩和比(rank sum ratio,RSR)法以及二者模糊联合的方法对某三级甲等公立医院外科绩效水平进行综合评价.结果 2024年第一季度综合评价A12、A13、A6排名前三位,A3、A22、A1排名后三位,大部分科室居于中档,评价结果总体上与评价医院的科室发展情况相同,反映科室的绩效水平存在差异.结论 某三级甲等公立医院外科整体绩效水平有待提高,"功能定位"对外科绩效结果影响较大.绩效水平提升应聚焦技术创新与效率优化,强化各要素重视程度.
Study on the Performance Evaluation of Surgical Departments in Tertiary Public Hospitals Based on the Fuzzy Combination of TOPSIS and RSR Methods
Objective Based on performance assessment indicators for tertiary public hospitals,a retrospec-tive analysis was carried out on the surgical medical quality and operational efficiency of a specific tertiary A-level public hospital for the first quarter of 2024.The analysis yielded recommendations for the advancement of hospital sur-gical departments.Methods The comprehensive evaluation of the surgical performance level of a certain tertiary A-level public hospital was conducted using the weighted TOPSIS method,the rank sum ratio(RSR)method,and a fuzzy combination of the two methods.Results For the first quarter of 2024,A12,A13,and A6 were ranked in the top three by the complete review,while A3,A22,and A1 were listed in the bottom three.The majority of depart-ments fell into the middle.The evaluation's findings mainly matched the hospital departments'real state of develop-ment,showing variations in each department's performance.Conclusion The overall performance level of the surgical department in the tertiary public general hospital needs improvement.The results of surgical performance are signifi-cantly impacted by"functional positioning".In order to raise performance levels,technical innovation and efficiency optimisation should be prioritised,along with a greater attention on different components.

tertiary public hospitalperformance evaluationsurgeryTOPSIS methodrank sum ratio methodfuzzy combined evaluation

李悦欣、夏家红、张明、吴晟、许栋

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清华大学医院管理研究院 广东 深圳 518055

华中科技大学同济医学院附属协和医院 湖北 武汉 430022

三级公立医院 绩效考核 外科 TOPSIS法 秩和比法 模糊联合评价

湖北省卫生健康委卫生健康科研立项项目湖北省卫生健康委卫生健康科研立项项目国家卫生健康委卫生健康统计工作高质量发展揭榜攻关项目(3)

WJ2023M038WJ2023M043

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子：2.15
ISSN：1001-5329
年,卷(期)：2024.44(9)