基于主成分分析的武汉市公立医院综合评价研究

Comprehensive Evaluation of Wuhan Public Hospital based on Principal Component Analysis

目的将武汉市市属医院与部、省属医院进行综合评价并进行对比,以发现武汉市属医院薄弱环节,为当地卫生部门提高市属医院综合效率、提供医院管理决策提供依据。方法选取10个代表性指标,运用主成分分析对位于武汉市的26家医院(市属和部、省属各13家)进行综合评价。结果确认了第一主成分为反映医院的医疗服务能力的综合指标,第二主成分为反映医院医疗服务效率的综合指标。武汉市13家市属医院综合水平、医疗服务能力、医疗服务效率评分排名位列前十的均有4家,排名排在末十位的医院分别有7家、7家和5家。结论武汉市属医院与部、省属医院的综合水平、医疗服务能力和医疗服务效率存在差距,尤其是在医院医疗服务的效率上,有待进一步提高。

Objective To provide local health departments with decision-makingof hospital management basis for discovering the weak links of hospitals in Wuhan.Methods Ten representative indicators were selected,and 26 hospitals located in Wuhan(13 municipal hospitals and 13 ministerial or provincial hospitals,respectively)were comprehensively evaluated by principal component analysis.Results It is confirmed that the first principal component was a comprehensive indicator reflecting the hospitals'medical capability,and the second principal component was a comprehensive indicator reflecting the hospitals'medical service efficiency.There were 4 rankings in the top ten hospitals in the comprehensive level,medical capacity and medical service efficiency of 13 municipal hospitals in Wuhan,and 7,7 and 5 hospitals ranked in the last 10,respectively.Conclusion There is a gap between the comprehensive level,medical capacity and medical service efficiency ofthe hospitals in Wuhan and ministerial and provincial hospitals,especially in the efficiency of hospital medical services,which needs further improvement.