安徽省公立医院规模及效率和质量的耦合协调性研究  

Research on the coupling and coordination of scale,efficiency and quality of public hospitals in Anhui

作　　者：田帝 徐红兵[1] 王博文 周苑 周典[1] Tian Di;Xu Hongbing;Wang Bowen;Zhou Yuan;Zhou Dian(The First Affiliated Hospital,Anhui Medical University,Hefei 230022,China;Anhui Health Commission,Hefei 230022,China;The Second Affiliated Hospital,Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第一附属医院,合肥230022 [2]安徽省卫生健康委员会,合肥230022 [3]安徽医科大学第二附属医院,合肥230601

出　　处：《中华医院管理杂志》2019年第11期961-965,共5页Chinese Journal of Hospital Administration

基　　金：安徽省中央引导地方科技发展专项项目(YDZX20183400004383)。

摘　　要：目的从规模、效率、质量3个维度,对安徽省二级和三级公立医院的单维度评价结果进行分析,并探究耦合协调度在跨等级医院评价中的作用。方法从安徽省卫生健康委员会医院信息直报系统中抽取32家医院2017年的相关数据,运用数据包络分析(DEA)对医院效率进行评价,运用TOPSIS模型对医院质量进行评价,并运用耦合函数进行耦合协调度分析。结果单维度评价中,二级医院、三级医院在3个维度上的得分分布不同,差异有统计学意义;且DEA和TOPSIS评价结果呈现出二级医院优于三级医院的"倒挂现象",与医院实际情况相反。再使用耦合协调度评价方法,通过规模维度对不同等级医院评价结果进行调节,则三级医院耦合协调度优于二级医院,与医院实际情况相符。安徽省整体耦合协调度为0.637,处于"初级协调"等级。其中,皖中地区耦合协调度最高。结论单维度评价方法无法全面地反映医院的整体水平。而采用耦合协调度评价能够得到更加综合、符合客观事实的评价结果。各医院在制定发展策略时,要因地制宜,兼顾规模、效率、质量的协调发展。Objective To evaluate the scale,efficiency and quality of secondary and tertiary public hospitals in Anhui province,and analyze the degree of coupling and coordination among the three dimensions.Methods Thirty-two hospitals′data were extracted from the direct reporting system of Anhui Health Commission.Hospital efficiency was evaluated by DEA model,hospital quality was evaluated by TOPSIS model,and coupling coordination degree was analyzed by coupling function.Results In the single-dimension evaluation,there were significant differences in the distribution of the three dimensions among different levels of hospitals,and the efficiency and quality of secondary hospitals were better than those of tertiary hospitals.In the coupling evaluation,the average degree of coupling coordination in Anhui was 0.637,which was in the"primary coordination"level.The overall coupling and coordination degree of the tertiary hospitals were better than that of the secondary hospitals,and the highest score was in central Anhui.Conclusions Single-dimensional evaluation method cannot objectively represent a general picture of the hospitals.On the other hand,coupling coordination degree evaluation can provide a more comprehensive and objective result.The development strategy of hospitals should be made to fit local conditions and to coordinate the development of scale,efficiency and quality.

关 键 词：医院 公立 数据包络分析 TOPSIS法 耦合协调度 规模 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]