基于TOPSIS法和秩和比法模糊联合的三级公立医院外科绩效评价研究  

Study on the Performance Evaluation of Surgical Departments in Tertiary Public Hospitals Based on the Fuzzy Combination of TOPSIS and RSR Methods

作　　者：李悦欣 夏家红[2] 张明[2] 吴晟 许栋 Li Yuexin;Xia Jiagong;Zhang Ming(Institute for Hospital Management,Tsinghua University,Shenzhen,Guangdong,518055,China;不详)

机构地区：[1]清华大学医院管理研究院,广东深圳518055 [2]华中科技大学同济医学院附属协和医院,湖北武汉430022

出　　处：《中国医院管理》2024年第9期13-18,共6页Chinese Hospital Management

基　　金：湖北省卫生健康委员会卫生健康科研立项项目(WJ2023M038,WJ2023M043);国家卫生健康委卫生健康统计工作高质量发展揭榜攻关项目(3)。

摘　　要：目的基于三级公立医院绩效考核相关指标对某三级甲等公立医院2024年第一季度外科医疗质量和运营效率进行回顾性分析,为医院手术科室发展提供建议。方法利用加权TOPSIS法、秩和比(ranksumratio,RSR)法以及二者模糊联合的方法对某三级甲等公立医院外科绩效水平进行综合评价。结果2024年第一季度综合评价A12、A13、A6排名前三位,A3、A22、A1排名后三位,大部分科室居于中档,评价结果总体上与评价医院的科室发展情况相同,反映科室的绩效水平存在差异。结论某三级甲等公立医院外科整体绩效水平有待提高,“功能定位”对外科绩效结果影响较大。绩效水平提升应聚焦技术创新与效率优化,强化各要素重视程度。Objective Based on performance assessment indicators for tertiary public hospitals,a retrospec tive analysis was carried out on the surgical medical quality and operational efficiency of a specific tertiary A-level public hospital for the first quarter of 2024.The analysis yielded recommendations for the advancement of hospital sur-gical depar tments.Methods The comprehensive evaluation of the surgical performance level of a certain tertiary A-level public hospital was conducted using the weighted TOPSIS method,the rank sum ratio(RSR)method,and a fuzzy combination of the two methods.Results For the first quarter of 2024,A12,A13,and A6 were ranked in the top three by the complete review,while A3,A22,and A1 were listed in the bottom three.The majority of depart-ments fell into the middle.The evaluation's findings mainly matched the hospital departments’real state of develop-ment,showing variations in each department s performance.Conclusion The overall performance level of the surgical department in the tertiary public general hospital needs improvement.The results of surgical performance are signifi-cantly impacted by"functional positioning".In order to raise performance levels,technical innovation and efficiency optimisation should be prioritised,along with a greater attention on different components.

关 键 词：三级公立医院 绩效考核 外科 TOPSIS法 秩和比法 模糊联合评价 

分 类 号：R197.3[医药卫生—卫生事业管理]