基于数据包络分析和Malmquist指数模型的重庆市医疗设备配置效率分析  

Efficiency Analysis of Medical Equipment Allocation in Chongqing Based on Data Envelopment Analysis and Malmquist Index Model

作　　者：寇月琴 朱小兵 李仕康 魏安海 聂瑞 张和华 KOU Yueqin;ZHU Xiaobing;LI Shikang;WEI Anhai;NIE Rui;ZHANG Hehua(Department of Medical Engineering,Daping Hospital of Army Medical University,Chongqing 400042,China;Chongqing Medical Equipment Quality Inspection Institute,Chongqing 400023,China;School of Microelectronics and Communication Engineering,Chongqing University,Chongqing 400044,China)

机构地区：[1]陆军军医大学大坪医院医学工程科,重庆400042 [2]重庆市医疗设备质量检测所,重庆400023 [3]重庆大学微电子与通信工程学院,重庆400044

出　　处：《中国医疗设备》2025年第3期102-108,共7页China Medical Devices

基　　金：重庆市卫健委医学科研项目(2025WSJK091);国家卫生健康委医院管理研究所医学工程项目(2022MEB202)。

摘　　要：目的分析重庆市医疗卫生机构医疗设备配置现状,评估其配置效率,促进医疗设备配置的科学化和合理化。方法采用数据包络分析法(Data Envelopment Analysis,DEA)和Malmquist指数模型,对2017—2022年重庆市医疗卫生机构医疗设备配置的静态与动态效率进行综合分析。结果低价值医疗设备配置分布在医院、基层医疗卫生机构和专业公共卫生机构的占比相对稳定,中、高价值医疗设备在专业公共卫生机构和基层医疗卫生机构分布占比呈波浪式上升趋势。从静态测评结果来看,医院和其他机构的设备配置效率为DEA弱有效,基层医疗卫生机构的配置效率为DEA有效,专业公共卫生机构的配置效率为DEA无效。从动态测评结果来看,2017—2022年,各医疗卫生机构医疗设备配置效率呈总体降低趋势。结论重庆市医疗卫生机构在医疗设备配置结构方面已取得持续优化,整体配置效率较高。若进一步提高配置效率,需要关注医疗设备技术更新和配置使用管理优化。本研究结果可以为医疗卫生机构在医疗设备配置和管理方面提供科学、合理的决策参考,促进医疗设备配置决策的科学化和合理化,进而提升医疗服务的整体效能。Objective To analyze the current situation of medical equipment allocation in Chongqing’s medical and health institutions,evaluate its allocation efficiency,and promote the scientific and rational allocation of medical equipment.Methods Data envelopment analysis(DEA)and Malmquist index model were used to comprehensively analyze the static and dynamic efficiency of medical equipment allocation in Chongqing medical and health institutions during 2017-2022.Results The distribution proportion of low-value medical equipment in hospitals,primary medical and health institutions and professional public health institutions was relatively stable,while the distribution proportion of medium and high-value medical equipment in professional public health institutions and primary medical and health institutions showed a wave rising trend.From the static evaluation results,the equipment allocation efficiency of hospitals and other institutions was DEA weakly effective,the allocation efficiency of primary medical and health institutions was DEA effective,and the allocation efficiency of professional public health institutions was DEA ineffective.From the dynamic evaluation results,the allocation efficiency of medical equipment in all medical and health institutions showed an overall decreasing trend during 2017-2022.Conclusion Medical and health institutions in Chongqing have achieved continuous optimization in the allocation structure of medical equipment,and the overall allocation efficiency is high.In order to further improve the allocation efficiency,it is necessary to pay attention to the technical update of medical equipment and the optimization of configuration and use management.The results of this study can provide scientific and reasonable decision-making reference for medical and health institutions in the allocation and management of medical equipment,promote the scientific and rationalization of medical equipment allocation decision-making,and improve the overall efficiency of medical services.

关 键 词：数据包络分析法 BCC模型 MALMQUIST指数 医疗设备 配置效率 纯技术效率 

分 类 号：R197.39[医药卫生—卫生事业管理]