摘要 对北京市部分公立二级及以上综合医院疾病预防控制服务效率进行分析,为公立综合医院合理配置疾病预防控制服务资源提供参考。于2018年9—10月对北京市72家二级公立及以上公立综合医院进行普查,最终选取48家医院。采用自行设计调查表和数据包络分析法,分析2017年北京市二级公立及以上综合医院疾病预防控制服务效率。48家综合医院的DEA总体效率、技术效率和规模效率的平均值分别为0.815、0.944和0.863。总体有效和规模有效的医院均为13家(27.1%),技术有效的医院28家(58.3%);非总体有效的35家综合医院在疾控服务门诊人次数、医院开展疾控工作职能数和各疾控职能工作量3项产出上均存在不足;部分医院在疾控人员总数(12家)、疾控服务总支出(13家)和实有床位数(9家)3项投入上存在不同程度的冗余。北京市二级及以上公立综合医院疾病预防控制服务效率总体一般,应合理配置综合医院疾病预防控制服务资源,重视效率测算,提高医院疾病预防控制服务的运营效率和现有资源的利用效率。 To analyze the efficiency of disease prevention and control service in some secondary and above public general hospitals in Beijing,and provide reference for guiding the rational allocation of disease prevention and control resources in public comprehensive hospitals scientifically.From September to October,2018,a general survey was conducted on 72 secondary and above public general hospitals in Beijing,and 48 hospitals were selected.A self-designed questionnaire and data envelopment analysis were used to analyze the efficiency of disease prevention and control service in these hospitals in 2017 in Beijing.The average score for overall efficiency,technical efficiency and scale efficiency were 0.815,0.944 and 0.863 respectively,and 13 hospitals(27.1%)were overall effective and scale effective,and 28 hospitals(58.3%)were technically effective.Among the 35 ineffective hospitals,there were deficiencies in the output on the number of outpatient visits for disease prevention and control service,the number of disease prevention and control service provision,and the workload of each disease prevention and control function.Some hospitals had different degrees of redundancy in the total number of disease prevention and control staff(12 hospitals),total expenditure of disease prevention and control services(13 hospitals)and actual number of beds(9 hospitals).The overall efficiency of disease prevention and control service is generally average in secondary and above public comprehensive hospitals in Beijing.It needed to allocate the disease prevention and control service resources rationally,put emphasis on efficiency measurement,and improve the operational efficiency of disease prevention and control services and the utilization efficiency of related existing resources.
机构地区 中国医学科学院医学信息研究所
出处 《中国医院管理》 北大核心 2021年第4期25-29,共5页 Chinese Hospital Management
基金 北京市卫生健康委员会委托课题(2018) 中国医学科学院中央级公益性科研院所基本科研业务费项目(2017PT63007)。
关键词 公立综合医院 二级及以上医院 疾病预防控制效率 数据包络分析 public comprehensive hospitals secondary and above public general hospitals disease prevention and control efficiency data envelopment analysis
