基于Shapley值赋权的医院大型医疗设备综合绩效评价  

Comprehensive performance evaluation of large medical equipment based on Shapley value weighting

作　　者：陆秉[1] 俞斌[2] 黄亦成 郑忠民 LU Bing;YU Bin;HUANG Yi-cheng(Human Resources Department,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;不详)

机构地区：[1]上海交通大学医学院附属新华医院人力资源部,上海200092 [2]上海交通大学医学院附属新华医院资产管理部,上海200092 [3]上海交通大学医学院附属新华医院,上海200092

出　　处：《中国医学装备》2023年第12期150-155,共6页China Medical Equipment

摘　　要：目的:基于Shapley值赋权方法构建大型医疗设备综合绩效评价模型,改进医院大型医疗设备临床服务水平。方法:从成本控制、社会增益和发展潜力3项准则和准则中包含的22项指标构建大型医疗设备绩效评价指标体系,采用Shapley值赋权建立评价模型,将综合绩效水平划分为高质量、较高质量、中等质量和差等质量4个评价等级,面向设备操作技师、设备管理者和医学工程师制定绩效管理对策。选取2019年4月至2023年3月医院临床在用的31台大型医疗设备,根据评价管理方法不同,将其分为对照组和观察组,对照组采用成本效益评价管理,观察组采用综合绩效评价管理,对比两组综合绩效评分值、绩效指标评价等级和管理质量认可度。结果:观察组诊断类、治疗类和科研类设备综合绩效评分分别为(0.85±0.04)分、(0.87±0.06)分和(0.84±0.05)分,均高于对照组,其差异有统计学意义(t=2.836,t=2.354,t=3.879;P<0.05);观察组设备成本绩效、社会绩效及发展绩效评定为高质量和较高质量的占比分别为77.42%和19.35%、58.06%和35.48%、41.94%和51.61%,3项绩效评定综合占比均高于对照组,其差异有统计学意义(χ^(2)=4.026,χ^(2)=4.292,χ^(2)=5.415;P<0.05);医护人员、医学工程师、科研人员及设备管理者对观察组设备管理质量认可度分别为(91.79±3.93)%、(90.09±4.46)%、(93.48±2.03)%和(90.65±4.43)%,均高于对照组,其差异有统计学意义(t=2.564,t=2.271,t=6.210,t=4.353;P<0.05)。结论:基于Shapley值赋权的医院大型医疗设备综合绩效评价模型能够提高大型医疗设备综合绩效水平,增加高质量和较高质量评价等级指标占比,改善大型医疗设备管理质量和临床服务能力。Objective:To construct a comprehensive performance evaluation model based on Shapley value weighting method to improve the clinical service level of large medical equipment in hospitals.Methods:The performance evaluation index system of large medical equipment was developed from the three indicators of cost control,social gain and development potential at the criterion level and 22 indicators at the indicator level.The evaluation model was constructed by Shapley value weighting,and the comprehensive performance level was divided into four evaluation levels:high quality,relatively high quality,medium quality and poor quality.Performance management strategies were developed for equipment operating technicians,equipment managers and medical engineers.Thirty-one large medical equipment in clinical use in the hospital were selected and divided into control group and observation group according to different evaluation and management methods.The control group adopted cost-benefit evaluation management,and the observation group adopted comprehensive performance evaluation management.The comprehensive performance scores,evaluation levels of performance indicators and recognition degree of management quality of the two groups were compared.Results:The comprehensive performance scores of diagnostic equipment,treatment equipment and scientific research equipment in the observation group were(0.85±0.04)points,(0.87±0.06)points and(0.84±0.05)points,respectively,which were higher than those in the control group,the difference was statistically significant(t=2.836,t=2.354,t=3.879;P<0.05).The proportion of high quality and relatively high quality in cost performance,social performance and development performance of large medical equipment in the observation group were 77.42%and 19.35%,58.06%and 35.48%,41.94%and 51.61%,respectively,the overall proportions were higher than those in the control group,the difference was statistically significant(χ^(2)=4.026,χ^(2)=4.292,χ^(2)=5.415;P<0.05).The recognition of equipment management

关 键 词：权重赋值 绩效评价 成本控制 社会增益 发展潜力 

分 类 号：R197.39[医药卫生—卫生事业管理]