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基于DRGs指标的DEA法在临床科室效率评价中的应用

Application of the DEA method based on DRGs indicators in the efficiency evaluation of clinical departments

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【作者】 罗勤王明举明星辰罗永忠李佳霖张进付萍邓琼杨骁

【Author】 Luo Qin;Wang Mingju;Ming Xingchen;Luo Yongzhong;Li Jialin;Zhang Jin;Fu Ping;Deng Qiong;Yang Xiao;Shiyan Taihe Hospital, Affiliated Hospital of Hubei University of Medicine;Danjiangkou First Hospital;

【通讯作者】 王明举;

【机构】 十堰市太和医院(湖北医药学院附属医院)丹江口市第一医院

【摘要】 目的 测度和评价综合医院临床科室的运行效率、优化医疗资源配置。方法 运用数据包络分析法(DEA),结合疾病诊断相关分类(DRGs)相关指标,综合评价某三级医院2018年各临床科室的投入产出效率,通过对非技术有效临床科室的投入、产出指标松弛度分析,得出改进方向和程度。结果 41个临床科室中,48.78%的临床科室总体DEA有效,12.20%的临床科室技术有效,39.02%的临床科室的技术和规模无效。结论 医院应做好差异化管理,结合DEA方法及DRGs相关指标补充完善院内绩效评估体系,优化院内卫生资源配置,提质增效,走高质量发展之路。

【Abstract】 Objective To measure and evaluate the operational efficiency of clinical departments in a general hospital and optimize the allocation of medical resources.Methods Data envelopment analysis(DEA) was used to comprehensively evaluate the input and output efficiency of the hospital’s clinical departments by combining the indicators related to Diagnosis Related Groups(DRGs). The improvement direction and degree were obtained by analyzing the slackness of input and output indicators of non-technical effective clinical departments.Results Among 41 clinical departments, 48.78% of the clinical departments were effective in DEA, 12.20% were purely technically effective, and 39.02% were ineffective in terms of pure technical efficiency and scale efficiency.Conclusion Hospitals should do a good job of differentiated management, supplement and improve the hospital performance assessment system by combining DEA methods and DRGs-related indicators, optimize the allocation of health resources within the hospital, improve quality and efficiency, and take the path of high-quality development.

【基金】 十堰市2022年度软科学研究项目(2022R026)
  • 【文献出处】 中国医院统计 ,Chinese Journal of Hospital Statistics , 编辑部邮箱 ,2023年02期
  • 【分类号】R197.323
  • 【下载频次】35
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