跨域医联体建设中某三级公立医院临床专科效率分析

Analysis of Operational Efficiency of Clinical Departments in a Certain Grade A Tertiary Public Hospital in the Construction of Cross Domain Medical Consortium

目的:分析长三角区域一体化背景下某三甲医院跨域医联体建立前后的临床专科的运行效率,为医院合理配置资源提供参考依据。方法:运用数据包络分析方法(DEA)对医院2017年底跨域医联体建立以来36个临床专科运行效率进行评价。用非参数检验及卡方(X^(2))检验比较不同紧密程度DEA效率的差异。结果:2017年-2020年DEA效率由0.644提升至0.836,对外合作紧密科室DEA效率显著优于不紧密科室,差异均具有统计学意义(P<0.05)。结论:医院应坚持开放协作策略,推进区域协同发展;坚持差异发展思维,统筹配置医疗卫生资源;坚持绩效考核导向,强化医院现代化精细化管理。

Objective:To analyze the operating efficiency of clinical departments in acertain grade Atertiary public hospital under the coordinated development of Yangtze River Delta and provide reference for hospital to allocate resources reasonably.Methods:Based on DEA model to evaluate the operation efficiency of 36 clinical departments since the establishment of the cross regional medi⁃cal consortium in 2017.Nonparametric test and chi square(X^(2))test are used to compare the differences of DEA efficiency.Results:From 2017 to 2020,the DEA efficiency increased from 0.644 to 0.836.The difference was statistically significant(P<0.05).The DEA technical efficiency,pure technical efficiency and scale efficiency of departments with close external cooperation were significantly bet⁃ter than those without close external cooperation,and the difference was statistically significant(P<0.05).Conclusion:It needs to ad⁃here to the open cooperation strategy and promote regional coordinated development,adhere to the thinking of differential development and overall allocation of medical and health resources,adhere to the guidance of performance appraisal and strengthen the modern and fine management of the hospital.