基于数据包络分析的医院绩效管理优化策略探讨

Optimization Strategy of Hospital Performance Management Based on Data Envelopment Analysis

目的探究数据包络分析方法在医院临床科室效率评价中的应用,提出绩效管理优化策略。方法以北京市某三级综合医院39个临床科室为样本,用DRGs对住院服务产出进行风险调整,用径向模型对科室2018年-2019年技术效率进行静态测度,用全局参比Malmquist指数模型对科室两年中各月的全要素生产率及其分解构成变化进行动态测度。结果2018年-2019年仅有3个科室总体有效,全要素生产率总体呈上升趋势,主要由技术进步效应推动,结构效应贡献有限。结论数据包络分析在临床科室年度和月度效率评价中显示出技术优势和实用价值。据此提出绩效管理优化策略:基于DRGs进行风险调整;提高绩效管理的灵活性与适应性;提供客观、公正的效率评估视角;效率驱动绩效改进;正确运用测量方法。

Objective To explore the application of data envelopment analysis method in the efficiency evaluation of clinical departments in hospitals and put forward performance management optimization strategies.Methods Taking 39 clinical departments of a tertiary general hospital in Beijing as samples,the DRGs method was used to adjust the risk of inpatient service output,the radial model was used to static measure the technical efficiency of departments from 2018 to 2019,and the global reference Malmquist index model was used to dynamic measure the monthly total factor productivity and the change of its decomposition composition of departments in two years.Results From 2018 to 2019,only three departments were overall effective,and total factor productivity was on the rise,mainly driven by the effect of technological progress,while the contribution of structural effect was limited.Conclusion Data envelopment analysis showed technical superiority and practical value in annual and monthly efficiency evaluation of clinical departments.Measures were proposed accordingly,which included the risk adjustment based on DRGs,improving the flexibility and adaptability of performance management,providing objective and fair perspective of efficiency evaluation,efficiency driving performance improvement,proper use of measurement methods.