首页|基于DEA-Malmquist指数模型的珠海市某三甲医院运行效率评价与优化研究

基于DEA-Malmquist指数模型的珠海市某三甲医院运行效率评价与优化研究

Evaluation and optimization of operational efficiency of a tertiary hospital in Zhuhai based on DEA-Malmquist index model

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目的 评价2019-2021年珠海市某三甲中西医结合医院临床科室运行效率,为优化医疗资源配置提供参考.方法 应用数据包络分析对该医院2019年26个临床科室的相对有效性和规模报酬状态进行静态分析,运用Malmquist指数模型评价2019-2021年各科室的运行效率动态变化.结果 2019年26个临床科室综合效率、纯技术效率和规模效率均值分别为0.837、0.913和0.912,消化内科、儿科、肛肠科等8个科室(占比30.8%)综合效率达到DEA有效状态;2019-2021年26个临床科室全要素生产率指数均值为0.929,下降7.1%,其中7个科室的全要素生产率指数均值大于1(26.9%).结论 该院临床科室运行效率较低,受到纯技术效率和规模效率的共同影响,建议加强DEA无效科室的资源配置优化和管理,提高运行效率.
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.

data envelopment analysisMalmquist indexoperational efficiencyclinical departmentresource allocation

郑浩渠、郭丹、林爽、刘雄新、马玉全、江雷

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珠海市中西医结合医院,519000广东珠海

数据包络分析 Malmquist指数 运行效率 临床科室 资源配置

2024

中国医院统计
卫生部统计信息中心,滨州医学院

中国医院统计

影响因子:0.564
ISSN:1006-5253
年,卷(期):2024.31(5)