摘要
目的 评价医院临床科室的运营效率并研究其影响因素,为医院决策者优化卫生资源配置提供参考。方法 应用数据包络分析法结合DRG指标综合评价研究样本的投入产出效率,通过数据包络分析松弛变量和Tobit回归模型分析可以确定改进目标值和影响因素。结果 35%的临床科室卫生资源配置有效,35%的临床科室纯技术效率和规模效率小于1;床位周转次数对临床科室运营效率有正向作用且有统计学意义。结论 研究样本的医院临床科室运营效率水平较低。结合DRG指标的数据包络分析法可以更好地评价临床科室运营效率。医院决策者根据DEA结果调整卫生资源配置,结合影响因素和实际需求做好临床科室精细化管理。
Objective To evaluate the operation efficiency of clinical departments in hospitals and study its influencing factors.It provides reference for hospital decision makers to optimize the allocation of health resources.Methods DEA combining with DRG indicator was used to comprehensively evaluate the input-output efficiency of study sample.Slacks Variable of DEA and Tobit regression were performed to identify improvement goals and influencing factors.Results 35% of clinical departments health resource allocation were effective,and the pure technical efficiency and scale efficiency of 35% of clinical departments were less than 1.The number of bed turnover had a positive effect on the operation efficiency of clinical departments and had statistical significance.Conclusion The clinical departments in the sample hospitals had a low level operating efficiency.DEA method combined with DRG index can better evaluate the operational efficiency of clinical departments.and assist hospital decision makers to adjust the allocation of health resources.According to the results of DEA,the hospital decision makers could adjusted the allocation of health resources,and combined with the influencing factors and actual needs to reinforce delicacy management of clinical departments.
作者
庄海山
甘雨
陈燕红
陈荣
ZHUANG Haishan;GAN Yu;CHEN Yanhong;CHEN Rong(The Fifth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510700,China)
出处
《现代医院》
2024年第12期1898-1901,共4页
Modern Hospitals
基金
广东省卫生经济学会科研课题(2024-WJMZ-42)。
