Objective To evaluate the operational efficiency of clinical departments in a tertiary integrated Chinese and Western medicine hospital in Zhuhai from 2019 to 2021,and to provide reference for optimizing medical resource allocation.Methods Data envelopment analysis(DEA)was applied to statistically analyze the relative effectiveness and scale reward status of 26 clinical departments in 2019.The Malmquist index model was applied to assess the dynamic change in operational efficiency of each department between 2019 and 2021.Results The mean values of comprehensive efficiency,pure technical efficiency,and scale efficiency of 26 clinical departments in 2019 were 0.837,0.913,and 0.912,respectively.Eight departments inclu-ding gastroenterology,pediatrics and proctology reached the DEA effective state in terms of integrated efficiency,accounting for 30％.The mean total factor productivity index of 26 clinical departments from 2019 to 2021 was 0.929,indicating a decrease of 7.1％.A total of seven departments(26.9％)reported a mean total factor productivity index above 1.Conclusion Clinical de-partments in the sample hospital were impacted by a blend of pure technical and scale efficiencies,leading to decreased opera-tional efficiency.It is suggested that resources be allocated optimally towards ineffective departments of the DEA to enhance oper-ational and management efficiency.
关键词
数据包络分析/Malmquist指数/运行效率/临床科室/资源配置
Key words
data envelopment analysis/Malmquist index/operational efficiency/clinical department/resource allocation
维普
万方数据