DEA模型对某三甲医院医院感染的管理效率评价
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摘要
目的评价某大型综合三甲医院各临床病房医院感染管理的相对效率,为提高医院感染管理效率提供参考和依据。方法选取2016年1月-12月63个临床病房作为决策单元,运用数据包络分析法(Data Envelopment Analysis,DEA)的产出导向型(BCC)模型及超效率模型对其相对效率进行评价和分析。结果 63个临床病房总技术效率平均值为0.939,纯技术效率平均值0.995,规模效率平均值0.944;21个临床病房纯技术效率DEA有效,占33.33%。结论非DEA有效的临床病房应当提高医院感染管理水平,促进其技术效率持续改善,DEA方法在医院感染管理领域具有一定的实践意义及指导意义。
OBJECTIVE To evaluate the relative management efficiency of healthcare-associated infections(HAIs)for clinical wards in a large comprehensive grade-three class-A hospital,so as to provide reference and basis for improving the management efficiency of HAIs.METHODS Sixty-three clinical wards from Jan.2016 to Dec.2016 were selected to be decision making units(DMUs).The relative efficiency were evaluated and analyzed using BCC and super-efficiency DEA model.RESULTS The average technical efficiency,pure technical efficiency and scale efficiency of 63 clinical wards were 0.939,0.995 and 0.944,respectively.The DEA of 21 DMUs was effective on pure technical efficiency,accounting of 33.33%.CONCLUSION The non DEA effective clinical wards should improve the management of HAIs to promote the continuous improvement of technical efficiency.The DEA method provides a strong practical and guiding significance in the field of HAIs management.
OBJECTIVE To evaluate the relative management efficiency of healthcare-associated infections(HAIs)for clinical wards in a large comprehensive grade-three class-A hospital,so as to provide reference and basis for improving the management efficiency of HAIs.METHODS Sixty-three clinical wards from Jan.2016 to Dec.2016 were selected to be decision making units(DMUs).The relative efficiency were evaluated and analyzed using BCC and super-efficiency DEA model.RESULTS The average technical efficiency,pure technical efficiency and scale efficiency of 63 clinical wards were 0.939,0.995 and 0.944,respectively.The DEA of 21 DMUs was effective on pure technical efficiency,accounting of 33.33%.CONCLUSION The non DEA effective clinical wards should improve the management of HAIs to promote the continuous improvement of technical efficiency.The DEA method provides a strong practical and guiding significance in the field of HAIs management.
引文
[1]董四平,左玉玲,陶红兵,等.中国医院效率DEA研究分类与投入产出指标分析[J].中国卫生政策研究,2014,7(10):40-45.
[2]郭亚楠,张瑶,张馨予,等.基于超效率DEA模型的医院技术效率评价与影响因素分析[J].中国医院管理,2017,37(7):38-40.
[3]杜涛,冉伦,李金林,等.基于效率的组织多属性决策及实证研究:DEA-TOPSIS组合方法[J].中国管理科学,2017,25(7):153-162.
[4]陈岩,刘新靓,邓贵芳,等.基于Bootstrap-DEA的武汉市乡镇卫生院技术效率研究[J].中国农村卫生事业管理,2017,37(6):648-652.
[5]胡真真,李金梅,江海冰,等.基于数据包络分析的黑龙江省三甲综合医院效率评价研究[J].实用预防医学,2017,24(4):502-506.
[6]陈迪,王耀刚.基于超效率DEA中国妇幼保健院效率分析与评价[J].中国妇幼保健,2017,32(12):2522-2524.
[7]徐敏,许川,熊杰,等.增加手消毒剂用量对ICU医院感染率影响的研究[J].中华医院感染学杂志,2017,27(6):1421-1423.
[8]邵小平,茅艇华,蒋卓娟,等.手卫生管理系统对降低ICU多药耐药菌感染的影响[J].中华医院感染学杂志,2017,27(17):4053-4055.
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[10]王琴,王周锦,李樟英,等.医护人员手卫生依从性与医院感染的关系[J].中华医院感染学杂志,2017,27(11):2632-2635.
[11]沈燕,胡必杰,高晓东,等.采用ATP生物荧光法对46所医院ICU环境物体表面洁净度的检测分析[J].中华医院感染学杂志,2014,24(10):2595-2597.
[12]Pakyz AL,Ozan YA.Use of data envelopment analysis to quantify opportunities for antibacterial targets for reduction of health care-associated Clostridium difficile infection[J].Am J Med Qual,2014,29(5):437-444.
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[18]魏权龄.数据包络分析[J].科学出版社,2006,45(17):1793-1808.
[19]Cook WD.Introduction to Data Envelopment Analysis and Its Uses:With DEA Solver Software and References by William W.Cooper;Lawrence M.Seiford;Kaoru Tone[J].Interfaces,2006,36(5):474-475.
[20]成刚.数据包络分析方法与MaxDEA软件[M].北京:知识产权出版社,2014:149.
[2]郭亚楠,张瑶,张馨予,等.基于超效率DEA模型的医院技术效率评价与影响因素分析[J].中国医院管理,2017,37(7):38-40.
[3]杜涛,冉伦,李金林,等.基于效率的组织多属性决策及实证研究:DEA-TOPSIS组合方法[J].中国管理科学,2017,25(7):153-162.
[4]陈岩,刘新靓,邓贵芳,等.基于Bootstrap-DEA的武汉市乡镇卫生院技术效率研究[J].中国农村卫生事业管理,2017,37(6):648-652.
[5]胡真真,李金梅,江海冰,等.基于数据包络分析的黑龙江省三甲综合医院效率评价研究[J].实用预防医学,2017,24(4):502-506.
[6]陈迪,王耀刚.基于超效率DEA中国妇幼保健院效率分析与评价[J].中国妇幼保健,2017,32(12):2522-2524.
[7]徐敏,许川,熊杰,等.增加手消毒剂用量对ICU医院感染率影响的研究[J].中华医院感染学杂志,2017,27(6):1421-1423.
[8]邵小平,茅艇华,蒋卓娟,等.手卫生管理系统对降低ICU多药耐药菌感染的影响[J].中华医院感染学杂志,2017,27(17):4053-4055.
[9]徐晓莉,黄慧敏,尹湘毅,等.医院感染管理质量持续改进工作策略的研究[J].中华医院感染学杂志,2014,24(20):5153-5155.
[10]王琴,王周锦,李樟英,等.医护人员手卫生依从性与医院感染的关系[J].中华医院感染学杂志,2017,27(11):2632-2635.
[11]沈燕,胡必杰,高晓东,等.采用ATP生物荧光法对46所医院ICU环境物体表面洁净度的检测分析[J].中华医院感染学杂志,2014,24(10):2595-2597.
[12]Pakyz AL,Ozan YA.Use of data envelopment analysis to quantify opportunities for antibacterial targets for reduction of health care-associated Clostridium difficile infection[J].Am J Med Qual,2014,29(5):437-444.
[13]谭莉,谭昆,熊薇,等.风险评估在医院感染管理中的应用研究[J].中华医院感染学杂志,2017,27(18):4235-4237.
[14]World Health Organization.Hand Hygiene:Why,How&When[EB/OL].(2009-08-01).http://www.who.int/gpsc/5may/Hand_Hygiene_Why_How_and_When_Brochure.pdf?ua=1
[15]中华人民共和国国家卫生健康委员会.医院感染监测规范[EB/OL].(2009-04-01)[2009-12-01].http://www.nhfpc.gov.cn/zhuz/s9496/200904/40117/files/25b6a8b518094e00b150550fdfb0953e.pdf.
[16]中华人民共和国国家卫生健康委员会.医院感染诊断标准(试行)[EB/OL].(2001-01-02).http://www.nhfpc.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml
[17]中华人民共和国国家卫生健康委员会.医院感染管理质量控制指标(2015年版)(国卫办医函[2015]252号)[EB/OL].(2015-04-10).http://www.nhfpc.gov.cn/ewebeditor/uploadfile/2015/04/20150415094217171.pdf.
[18]魏权龄.数据包络分析[J].科学出版社,2006,45(17):1793-1808.
[19]Cook WD.Introduction to Data Envelopment Analysis and Its Uses:With DEA Solver Software and References by William W.Cooper;Lawrence M.Seiford;Kaoru Tone[J].Interfaces,2006,36(5):474-475.
[20]成刚.数据包络分析方法与MaxDEA软件[M].北京:知识产权出版社,2014:149.