摘要
目的分析2017—2022年苏州市26家三级医院医疗卫生资源配置效率,为有关部门合理统筹卫生资源配置、区域卫生规划及医院管理水平提供定量分析和意见建议。方法选取卫生技术人员数、卫生机构实有床位数和卫生总费用作为投入指标,诊疗人次和出院人数作为产出指标,分别采用SBM模型和SBM窗口模型进行效率测度。结果受突发公共卫生事件影响,苏州市三级医院医疗资源配置效率呈先下降后上升趋势。两种模型下,26家医院效率的平均水平线分别为0.687和0.707,SBM窗口模型下有19家医院(占比73%)在平均水平线附近及以上。结论两种模型结果协同印证,苏州市三级医院效率总体较为有效。可通过综合考虑健康需求,统筹规划医疗资源布局;利用信息化手段,创新医疗服务模式;加强内涵建设,改进管理水平等方式进一步提升医疗资源配置和利用效率,促进三级医院高质量发展。
Objective To analyze the allocation efficiency of medical and health resources in 26 tertiary hospitals in Suzhou from 2017 to 2022 and perform quantitative analysis in order to provide suggestions for relevant departments to rationally coordinate the health resources allocation,regional health planning and hospital management.Methods The number of health technicians,the number of beds in health institutions and the total health expenditure were selected as input indicators,while the number of diagnostic and treatment visits and the number of discharged patients were selected as output indicators.The efficiency was measured by the SBM(Slack-Based Measure)model and the SBM window model respectively.Results Influenced by public health emergencies,the allocation efficiency of medical resources in tertiary hospitals in Suzhou city decreased first and then started to increase Under the two models,the average efficiency scores of 26 hospitals were 0.687 and 0.707,respectively.Notably,under the SBM window model,19 hospitals(73%)achieved efficiency scores near or above the average.Conclusion The two models present a conclusion that the overall efficiency of the tertiary hospitals in Suzhou is generally effective.To further enhance the allocation and utilization of medical resources,it is suggested that a comprehensive consideration of health needs guide the planning of medical resource distribution.Leveraging information technology to innovate medical service models,and strengthening internal development and management practices are essential strategies for promoting high-quality development in tertiary hospitals.
作者
王晓
董刚
胡一河
朱小红
王清华
汤景云
WANG Xiao;DONG Gang;HU Yihe;ZHU Xiaohong;WANG Qinghua;TANG Jingyun(Suzhou Center for Disease Prevention and Control,Suzhou 215137,China;Anhui University of Finance and Economics,Institute of Anhui's Economic and Social Development,Bengbu 233040,China;Suzhou Advanced Research Institute of Public Health,Suzhou 215031,China;Suzhou Health and Family Planning Statistics Information Center,Suzhou 215002,China)
出处
《现代医院》
2024年第8期1156-1160,1163,共6页
Modern Hospitals
基金
安徽省自然科学基金面上项目(2008085MA23)
江苏省预防医学科研课题(Ym2023019)
苏州市医学重点扶持学科—卫生信息学(SZFCXK202146)。
关键词
卫生资源
配置效率
SBM模型
SBM窗口模型
Health resources
Allocation efficiency
Slack-based measure(SBM)
SBM window analysis
