山东省三级公立医院病床使用效率分析  

Analysis of Hospital Bed Efficiency of Tertiary Public Hospital in Shandong Province

作　　者：王好悦 李娟 李慧 Wang Haoyue;Li Juan;Li Hui(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University/NHC Key Lab of Health Economics and Policy Research,Shandong University,Jinan,Shandong,250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心·国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南250012 [2]山东第一医科大学附属省立医院,山东济南250021

出　　处：《中国医院管理》2024年第1期60-63,共4页Chinese Hospital Management

基　　金：美国中华医学基金会公开竞争项目(18-298)。

摘　　要：目的分析评价2013—2020年山东省54家三级公立医院的病床使用情况及变化趋势,为提高医院病床使用效率、合理配置医疗资源提供参考。方法基于2013—2020年山东省54家三级公立医院的面板数据,选择病床使用率、病床周转次数、出院者平均住院日3项指标,利用Brown-Forsythe方差分析描述各分类病床使用效率的差异,评价山东省三级公立医院的病床使用效率状况。结果研究结果显示,2013—2020年山东省三级公立医院的病床使用率均有所下降,但仍高于全国平均水平;单因素方差分析结果显示,2019年54家三级公立医院总体的病床使用率达到95.9%,处于超负荷状态。病床周转次数和出院者平均住院日均有所改善,但不同床位规模和机构属性的医院之间病床使用效率差异有统计学意义(P<0.05)。结论山东省应加强医疗资源的合理配置,提高医院管理水平,制定相关政策促进合理利用病床资源,进一步提高病床使用效率。Objective To analyze and evaluate the hospital bed efficiency and development trend of 54 tertiary public hospitals in Shandong Province from 2013 to 2020 and to provide a reference for improving efficiency in the use of hospital beds and rationally allocating medical and health resources.Methods Based on the panel data of 54 tertiary public hospitals in Shandong Province from 2013 to 2020,three indicators of bed utilization rate,bed turnover times and the average length of stay of patients were selected to describe the differences of bed use efficiency in each category by using variance analysis and to evaluate the bed use efficiency in tertiary public hospitals in Shandong Province.Results The results of the study show that the bed utilization rate of tertiary public hospitals in Shandong Province decreased from 2013 to 2020,but it is still higher than the national average level.The results of variance analysis showed that in 2019,the overall bed utilization rate of 54 third-level public hospitals reached 95.9%,which was overloaded.The number of bed turnover and the average day of hospitalization were improved,but there were significant differences in bed use efficiency among hospitals with different bed size and institutional attributes(P<0.05).Conclusion Shandong Province should strengthen the rational allocation of medical resources,improve the level of hospital management,formulate relevant policies to promote the rational use of hospital bed resources,and further improve hospital bed efficiency.

关 键 词：三级公立医院 病床使用 病床周转次数 出院者平均住院日 

分 类 号：R197.323.2[医药卫生—卫生事业管理]