联合分析在医院管理研究中的应用

Application of Conjoint Analysis in the Research of Hospital Management

目的运用联合分析方法分析住院病人的就医偏好信息,得出医院重要属性的相对重要性,探讨医院在医疗市场中的市场占有率及其变化,从而为医院的自身建设和发展提供预期成果分析.方法采用问卷形式进行现场调查,分析住院病人(自费病人和医保病人)对医院的重要属性(特色专科、技术力量、就医距离、服务态度、卫生状况和收费情况)的需求偏好及医院的重要属性对医疗市场占有率的影响.结果住院病人中自费病人和医保病人的就医偏好趋向一致;两组病人中,医院6个重要属性的相对重要性在构成上没有显著差异(x2=0.5085,P=0.9977).医院重要属性的不同水平,对其市场占有率有明显的影响.结论联合分析方法是分析病人的就医偏好、预测医院的市场占有率的一种行之有效的方法.住院病人在就医时对医院的选择主要考虑医院的卫生条件,其次是收费情况和医生的技术水平,就医距离对病人选择就诊医院并不重要.

Objective Using conjoint analysis to research the preference data and eliciting the relative importance of the important attributes, to research the hospitals market share in the medical treatment market and the change of the market share and to provide the predicted effect analysis for hospital's development. Methods Using field survey to collect with questionnaire data and analyzing the requirement preference of the inpatients who are at their own expenses or at medical safeguard expenses, for the six hospitals' important attributes, including Characteristic Special Section Office, Technique Force, Hospitalizing Distance of Patients, Service Attitude of Doctors and Nurses, Sanitation Condition and Charge Status, and effect of the important attributes on the medical market share. Results There are same preference between the OEP and the MSEP when they choose hospital to hospitalize at this stage, and between the two group inpa-tient there is no significant difference between the proportions of the six important attributes' importance (x2 = 0.5085, P = 0.9977). The different levels of the hospitals' attributes have significant effect on their market share. Conclusion Conjoint analysis is an effective method for analyzing the hospitalizing preference of the inpatient and predicting the hospital market share. The inpatient mainly take the sanitation condition into account at first when they choose hospital, then take the charge status and the technique into account, but they pay less attention to the hospitalizing distance.