【摘要】 目的 评价上海市某三级公立医院临床科室的运行效率，为三级公立医院优化医疗卫生资源配置提供决策参考。方法 采用数据包络分析（data envelopment analysis, DEA）法，建立BCC模型，评价2023年上海市某三级公立医院53个临床科室的运行效率，分析各临床科室的运行效率与投入冗余情况。结果 综合效率、纯技术效率、规模效率均值分别为0.651、0.773、0.842。临床科室的效率表现划分为规模驱动型、技术引领型、复合低效型、高效型4个象限，外科科室多集中在高效型与技术引领型。院内非DEA有效科室产出不足量值均较高。结论 临床科室运行效率受纯技术效率影响更大，不同专科特征明显，大部分科室均存在产出不足的情况，是医院改进的重点。建议医院发展由“增量”转向“提质”，进一步深化医疗联合体协作和积极推进医保支付方式改革，以提高医院整体的运行效率。更多还原

【Abstract】 Objective To evaluate the operational efficiency of clinical departments in a tertiary public hospital in Shanghai and provide decision-making references for optimizing healthcare resource configuration in tertiary public hospitals. Method Data Envelopment Analysis(DEA) with a BCC model was applied to assess the operational efficiency and input redundancy of 53 clinical departments in a tertiary public hospital in Shanghai. Results The mean values of comprehensive efficiency, pure technical efficiency, and scale efficiency were 0.651, 0.773, and 0.842,respectively. Clinical departments were categorized into four efficiency quadrants: scale-driven, technology-leading,compound inefficient, and high-efficiency types. Surgical departments predominantly clustered in the high-efficiency and technology-leading categories. Non-DEA-efficient departments exhibited significantly higher output slack(S+).Conclusions Operational efficiency in clinical departments is more substantially influenced by pure technical efficiency,with distinct variations across specialties. Most departments demonstrated output insufficiency, highlighting critical areas for hospital-wide improvement. To enhance overall operational efficiency, hospitals should transition from “quantitydriven expansion” to “quality-driven development,” while deepening medical consortium collaboration and advancing payment reforms. These strategies will accelerate the operational efficiency of hospitals as a whole.更多还原