带有产出偏好的DEA模型及其在医院绩效评价的应用——以河北省11家三甲级医院为例
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摘要
目的对2016年河北省11家三甲级医院的运行效率情况进行分析,为优化医院卫生资源配置提供依据。方法采用带有产出偏好的数据包络分析法(DEA),并应用LINGO10. 0软件,对2016年河北省11家三甲级医院的投入产出效率情况进行分析。结果在考虑决策者主观偏好的前提下,通过对河北省11家三甲级医院的横向对比,结果表明不同医院间的配置效率存在差异,其中5家医院的配置效率为相对有效。结论 1.医院应实行科学管理,提高整体绩效水平; 2.合理控制医院规模,发展基层医疗事业; 3.重视医院统计工作,强化数据分析职能。
Objective To analyze the operation efficiency of 11 Third-level Grade A hospitals in Hebei province in 2016,and to provide the basis for optimizing the allocation of hospital health resources. Methods Data envelopment analysis( DEA)model with output preference was established,and software Lingo 10. 0 was used to analyze the input-output efficiency of 11Third-level Grade A hospitals. Results On the premise of considering the subjective preference of decision-makers,there were differences in allocation efficiency among 11 Grade A hospitals in Hebei Province,and 5 of them were relatively effective. Conclusion Firstly,hospitals should carry out scientific management to improve the overall performance level. Secondly,the scale of hospitals should be reasonably controlled and primary medical care should be developed. Thirdly,hospitals should pay attention to statistics work and strengthen the function of the data analysis.
Objective To analyze the operation efficiency of 11 Third-level Grade A hospitals in Hebei province in 2016,and to provide the basis for optimizing the allocation of hospital health resources. Methods Data envelopment analysis( DEA)model with output preference was established,and software Lingo 10. 0 was used to analyze the input-output efficiency of 11Third-level Grade A hospitals. Results On the premise of considering the subjective preference of decision-makers,there were differences in allocation efficiency among 11 Grade A hospitals in Hebei Province,and 5 of them were relatively effective. Conclusion Firstly,hospitals should carry out scientific management to improve the overall performance level. Secondly,the scale of hospitals should be reasonably controlled and primary medical care should be developed. Thirdly,hospitals should pay attention to statistics work and strengthen the function of the data analysis.
引文
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[14]何思长,刘志会,赵大仁,等.四川省基层医疗机构卫生资源配置与服务利用分析[J].中国医疗管理科学,2016,6(3):10-15.
[15]李玲,江宇,王敏瑶,等.我国公立医院管理与考核的现状、问题及政策建议[J].中国卫生政策研究,2010,3(5):12-16.
[16]谢钢,王辉,林琦远.公立医院绩效考核的现状与对策[J].现代医院管理,2009,7(4):1-4.
[17]周小健,姜管徐.基于DEA的卫生资源配置效率评价分析[J].现代预防医学,2010,37(20):3873-3875.
[2]魏权龄.评价相对有效性的数据包络分析模型---DEA和网络DEA[M].北京:中国人民大学出版社,2012:7-210.
[3]Podinovski VV,Bouzdine-Chameeva T.On single-stage DEAmodels with weight restrictions[J].European Journal of Operational Research,2016,248(3):1044-1050.
[4]Sinuany-Stern Z,Mehrez A,Hadad Y.An AHP/DEA methodology for ranking decision making units[J].International Transactions in Operational Research,2006,7(2):109-124.
[5]罗旋,陈廷,刘文芬.锥比率DEA模型在医院相对效率评估中的应用[C]//中国运筹学会第七届学术交流会论文集上卷,青岛,2004:342-347.
[6]孙加森.数据包络分析(DEA)的交叉效率理论方法与应用研究[D].合肥:中国科学技术大学,2014:17-20.
[7]Sexton TR,Silkman RH,Hogan AJ.Data envelopment analysis:critique and extensions[J].New Directions for Program Evaluation,1986(32):73-105.
[8]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.
[9]丁晋飞,谈立峰,汤在祥,等.德尔菲法及其在公共卫生领域的应用和展望[J].环境与职业医学,2012,29(11):727-730.
[10]Yan H,Wei QL.A method of transferring cones of intersection form to cones of sum form and its applications in data models[J].International Journal of Systems Science,2000,31(5):629-638.
[11]王洁玉,宗楠,刘梦,等.基于数据包络分析的河南省卫生资源配置效率评价[J].现代预防医学,2016,43(10):1812-1815.
[12]骆达,徐霁,秦娟,等.天津市公立医院现状分析及对策研究[J].现代医院管理,2010,8(3):13-15.
[13]吴少林,陈少贤,张衍浩,等.广东省公立医院发展现状与对策[J].中国医院管理,2008,28(1):8-11.
[14]何思长,刘志会,赵大仁,等.四川省基层医疗机构卫生资源配置与服务利用分析[J].中国医疗管理科学,2016,6(3):10-15.
[15]李玲,江宇,王敏瑶,等.我国公立医院管理与考核的现状、问题及政策建议[J].中国卫生政策研究,2010,3(5):12-16.
[16]谢钢,王辉,林琦远.公立医院绩效考核的现状与对策[J].现代医院管理,2009,7(4):1-4.
[17]周小健,姜管徐.基于DEA的卫生资源配置效率评价分析[J].现代预防医学,2010,37(20):3873-3875.