[1]高一红,周亚旭,王 颖,等.综合医院临床科室运营效率和资源配置优化研究[J].卫生经济研究,2025,42(10):73-77.
 GAO Yihong,ZHOU Yaxu,WANG Ying,et al.Study on the Optimization of Operational Efficiency and Resource Allocation in Clinical Departments in General Hospitals[J].Journal Press of Health Economics Research,2025,42(10):73-77.
点击复制

综合医院临床科室运营效率和资源配置优化研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年10期
页码:
73-77
栏目:
医院管理
出版日期:
2025-09-30

文章信息/Info

Title:
Study on the Optimization of Operational Efficiency and Resource Allocation in Clinical Departments in General Hospitals
作者:
高一红1周亚旭12王 颖1刘嘉伟1陆震芸1
1.上海交通大学医学院附属仁济医院,上海 200127
2.河南省医院管理研究院,河南 郑州 450000
Author(s):
GAO Yihong ZHOU Yaxu WANG Ying LIU Jiawei LU Zhenyun
Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
关键词:
数据包络分析临床科室效率资源配置
Keywords:
data envelopment analysis clinical departments efficiency resource allocation
分类号:
R19
文献标志码:
A
摘要:
目的:评价临床科室运营效率,探索建立以运营效率为导向的临床科室资源配置调整机制。方法:采用DEA-BCC模型分析临床科室的运营效率,运用Malmquist指数模型对临床科室的运营效率进行分解。结果:样本医院总体运营效率保持较高水平,临床科室处于规模报酬不变或递减状态;2024年上半年和2021年上半年,资产维度的投入冗余比例较高;Malmquist指数分解显示,技术进步对全要素生产率提升的贡献最大。结论:样本医院应重视技术进步和人才结构升级,突破运营效率瓶颈;推行数智化共享管理模式,破解资产冗余难题;由“增量扩容”转向“结构优化”,提升资源利用效率;实行DEA动态监测与跨科室对标协作,持续改善科室运营管理,最终形成可复制的医院运营管理经验。
Abstract:
Objective To evaluate the operational efficiency of clinical departments, and to explore the establishment of an operational efficiency-oriented resource allocation adjustment mechanism for clinical departments. Methods The DEA-BCC model was applied to analyze the operational efficiency of clinical departments, and the Malmquist index model was used to decompose the operational efficiency of clinical departments. Results The sample hospital maintained high overall operational efficiency, with clinical departments exhibiting constant or decreasing returns to scale. In the first half of 2024 and 2021, the proportion of redundant inputs in the asset dimension was relatively high. The Malmquist index decomposition revealed that technological progress contributed most significantly to total factor productivity growth. Conclusion The sample hospital should prioritize technological advancement and talent structure upgrading to overcome operational efficiency bottlenecks, implement digital-intelligent shared management models to resolve asset redundancy issues, shift from "incremental expansion" to "structural optimization" to enhance resource utilization efficiency, and adopt DEA dynamic monitoring and cross-departmental benchmarking collaboration to continuously improve departmental operational management, so as to ultimately form replicable hospital operational management practices.

参考文献/References:

[1] 国务院办公厅.关于推动公立医院高质量发展的意见[EB/OL].(2021-06-04)[2025-02-27].https://www.gov.cn/zhengce/zhengceku/2021-06/04/content_5615473.htm.
[2] 毛强,曾程慧,雷鹏,等.基于DEA-BCC模型的临床科室医疗服务效率分析[J].中华医院管理杂志,2020,36(09):5.
[3] 朱乔.数据包络分析:让数据自己说话[M].公彦德,李想,译. 北京:科学出版社,2017:1-3,48-49.
[4] 韩梅.DEA方法在国外医疗卫生系统效益评价中的应用[J].中华医院管理杂志,2002,18(09):546-548.
[5] 魏权龄.评价相对有效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.
[6] 张玥.基于Malmquist指数的天津市医院运行效率分析[J].中国卫生统计,2019,36(03):375-376,380.
[7] 王丽君,张琦,褚志杰,等.基于DEA-Malmquist指数模型的我国中医医院服务效率评价研究[J].中国医院管理,2024,44(05):45-51.
[8] 刘瑶瑶,周典,田帝,等.DRG付费下医院临床科室公平与效率研究[J].中国医疗保险,2023(02):117-122.

相似文献/References:

[1]范 洁,黄晓光,冷明祥,等.基于数据包络分析的江苏省卫生资源配置效率评价[J].卫生经济研究,2016,(04):38.
[2]苌凤水,胡龙军,罗 力,等.基于DEA的我国236个县级疾控中心效率分析[J].卫生经济研究,2016,(10):19.
[3]公彦才.山东省医疗卫生机构服务效率评价比较[J].卫生经济研究,2017,(03):64.
[4]景日泽,张鲁豫,章湖洋,等.北京市公立医院与民营医院效率比较分析——基于DEA模型[J].卫生经济研究,2018,(06):22.
[5]李 萌,郭淑岩,董四平.基于Bootstrap-Malmquist-DEA纠偏的中国医院效率和全要素生产率测量[J].卫生经济研究,2019,(03):63.
 LI Meng,GUO Shu-yan,DONG Si-ping.Correction on Chinese Hospital Efficiency and Total Factor Productivity Measurement Based on Bootstrap-Malmquist-DEA[J].Journal Press of Health Economics Research,2019,(10):63.
[6]张晓溪,孙玉莹,周保松,等.我国长三角地区卫生发展效率研究[J].卫生经济研究,2020,(01):18.
 ZHANG Xiao-xi,SUN Yu-ying,ZHOU Bao-song,et al.Study on the Efficiency of Health Development in the Yangtze River Delta Region of China[J].Journal Press of Health Economics Research,2020,(10):18.
[7]梁冰华,黄李凤.我国卫生资源配置效率评价及预测研究[J].卫生经济研究,2021,38(6):28.
 LIANG Bing-hua,HUANG Li-feng.Study on Evaluation and Prediction of Health Resource Allocation Efficiency in China[J].Journal Press of Health Economics Research,2021,38(10):28.
[8]秦裕辉,胡正东,周良荣,等.湖南省公立医院效率及影响因素研究——基于DEA-Tobit模型[J].卫生经济研究,2022,39(2):50.
 QIN Yu-hui,HU Zheng-dong,ZHOU Liang-rong,et al.Research on the Efficiency and Influencing Factors of Public Hospitals in Hunan Province——Based on DEA-Tobit Model[J].Journal Press of Health Economics Research,2022,39(10):50.
[9]陈 奎,林煜微,叶 俊.我国基层医疗卫生机构服务供给效率研究——基于DEA-Malmquist指数[J].卫生经济研究,2022,39(4):62.
 CHEN Kui,LIN Yu-wei,YE Jun.Research on the Supply Efficiency of Primary Health Care Services——Based on DEA-Malmquist Index[J].Journal Press of Health Economics Research,2022,39(10):62.
[10]王彤璐,袁 飞,傅 瑶,等.基于数据包络分析的中医医院临床科室运行效率研究[J].卫生经济研究,2022,39(9):24.
 WANG Tonglu,YUAN Fei,FU Yao,et al.Research on the Operation Efficiency of Clinical Departments in Traditional Chinese Medicine Hospital Based on Data Envelopment Analysis[J].Journal Press of Health Economics Research,2022,39(10):24.
[11]黄阿红,陶思羽,罗 莉,等.基于DEA模型的多院区医院临床科室运行效率分析[J].卫生经济研究,2024,41(08):83.
 HUANG Ahong,TAO Siyu,LUO Li,et al.Study on the Operation Efficiency of Clinical Departments in a Multi-campus Hospital based on DEA Model[J].Journal Press of Health Economics Research,2024,41(10):83.

更新日期/Last Update: 2025-09-30