[1]徐帆张蕾李红霞舒婷.基于DEA－Malmquist 指数的浙江省三级公立医院电子病历系统建设效率评价[J].中国卫生质量管理,2022,29(01):21-24.[doi:10.13912/j.cnki.chqm.2022.29.1.06 ]
　XU Fan,ZHANG Lei,LI Hongxia.Efficiency Evaluation of Electronic Medical Record System Construction in Tertiary Public Hospitals of Zhejiang Province Based on DEA-Malmquist Index[J].Chinese Health Quality Management,2022,29(01):21-24.[doi:10.13912/j.cnki.chqm.2022.29.1.06 ]

点击复制

基于DEA－Malmquist 指数的浙江省三级公立医院电子病历系统建设效率评价

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年01期页码: 21-24 栏目: 特别关注出版日期: 2022-01-28

Title:: Efficiency Evaluation of Electronic Medical Record System Construction in Tertiary Public Hospitals of Zhejiang Province Based on DEA-Malmquist Index

作者:: 徐帆张蕾李红霞舒婷; 国家卫生健康委医院管理研究所

Author(s):: XU Fan; ZHANG Lei; LI Hongxia; National Institution of Hospital Administration, National Health Commission

关键词:: 数据包络分析; 电子病历系统; 建设效率; 信息化; 三级公立医院

Keywords:: Data Envelopment Analysis; Electronic Medical Record System; Construction Efficiency; Informatization; Tertiary Public Hospital

分类号:: R197.324;R197.322

DOI:: 10.13912/j.cnki.chqm.2022.29.1.06

文献标志码:: A

摘要:: 目的分析浙江省三级公立医院电子病历系统建设效率，为提高电子病历系统建设水平提供参考。方法通过DEA的BCC模型和CCR模型，对浙江省三级公立医院2019年电子病历系统建设效率进行分析，再以Malmquist指数模型分析2017年-2019年浙江省三级公立医院电子病历系统建设效率变化情况。结果2019年浙江省三级公立医院电子病历系统建设DEA有效医院占比为17.65%，综合技术效率均值为0.597，纯技术效率均值为0.928，规模效率均值为0.633。17家医院2017年-2019年全要素生产效率平均增长10.4%，技术效率变化指数平均减少9.9%。结论浙江省三级公立医院电子病历系统建设DEA有效率较低，医院间发展不均衡。技术进步是电子病历系统建设效率提升的关键。建议效率低的医院应重视电子病历系统建设，同时引进新技术，注重人才队伍建设，从管理角度着手提高电子病历系统建设效率。

Abstract:: ObjectiveTo analyze the construction efficiency of electronic medical record system in tertiary hospitals of Zhejiang Province, and to provide reference for improving the construction level of electronic health record system.MethodsBased on the BCC model and CCR model of Data Envelopment Analysis (DEA), the efficiency of electronic medical record system construction in tertiary public hospitals in Zhejiang Province in 2019 was analyzed, and the efficiency change of electronic medical record system construction in tertiary public hospitals in Zhejiang Province from 2017 to 2019 was analyzed by Malmquist index model.ResultsIn 2019, DEA effective hospitals accounted for 17.65% of the construction of electronic medical record system in tertiary public hospitals in Zhejiang Province, and the average comprehensive technical efficiency was 0.597, pure technical efficiency was 0.928, and scale efficiency was 0.633. The total factor productivity of the 17 hospitals increased by 10.4% on average from 2017 to 2019, and the technical efficiency change index decreased by 9.9% on average.Conclusion The DEA efficiency of electronic medical record system construction in tertiary public hospitals in Zhejiang Province in 2019 was low, and the development among hospitals was unbalanced. The key to improving the efficiency of electronic medical record system construction was technological progress. It was suggested that hospitals with low efficiency should pay more attention to the construction of electronic medical record system, introduce new technology, pay attention to the talents, and improve the construction efficiency of electronic medical record system from the perspective of management.

参考文献/References:

［1］黄巧红.某院临床科室经营绩效评价分析［J］.中国卫生质量管理，2018，25（5）：97-100. ［2］曹欣鑫，张宜友，李瑛.天津市公立医院效率动态评价：基于DEA-Malmquist指数模型［J］.现代预防医学，2020，47（19）：3536-3540. ［3］卓丽军，路伟，李浩，等.二级公立医院实行托管模式前后效率比较研究：以广东省某市为例［J］.中国卫生政策研究，2020，13（9）：68-74. ［4］谢婷婷，丁宏，孟娜娜，等.安徽省县级综合公立医院运行效率评价［J］.中国卫生资源，2019，22（6）：440-444. ［5］李颖菲，李越，郭丽芳，等.基于DEA和Malmquist指数的河南省中医医院医疗服务资源配置效率分析与评价［J］.中国卫生统计，2019，36（5）：710-712. ［6］张榆，彭琰.基于DEA-Malmquist指数的云南省县级综合医院运行效率评价［J］.医学与社会，2020，33（9）：81-86，115. ［7］杨帆，傅昌，姚业楠，等.湖北省县域医疗卫生资源技术效率与全要素生产率研究［J］.中国卫生资源，2017，20（1）：60-64. ［8］余飞，赵晶，曾莉瑾，等.基于数据包络分析的医疗机构运营效率研究［J］.中国卫生质量管理，2017，24（2）：113-116. ［9］李萌，郭淑岩，董四平.基于Bootstrap-Malmquist-DEA纠偏的中国医院效率和全要素生产率测量［J］.卫生经济研究，2019，36（3）：63-68. ［10］江恬雨，陶红兵，路伟，等.山西省三级综合公立医院运行效率评价研究：基于Bootstrap-Malmquist模型［J］.中国医院管理，2019，39（2）：34-36. ［11］刘童，林枫，周绿林.基于超效率DEA-Tobit模型的江苏省县级公立医院运行效率分析［J］.中华医院管理杂志，2018，34（6）：518-521.

相似文献/References:

[1]余飞赵晶曾莉瑾范理宏.基于数据包络分析的医疗机构运营效率研究[J].中国卫生质量管理,2017,24(02):113.[doi:10.13912/j.cnki.chqm.2017.24.2.35]
[2]吴朝阳孟黎辉孔军辉江蒙喜.应用病例组合指数评价某院临床科室效率[J].中国卫生质量管理,2017,24(03):26.[doi:10.13912/j.cnki.chqm.2017.24.3.09]
[3]杨瑶如婳王霞曾多唐佳骥许欣悦.基于数据包络分析的医院绩效管理优化策略探讨[J].中国卫生质量管理,2021,28(04):70.[doi:10.13912/j.cnki.chqm.2021.28.4.21 ]
　YANG Yao,RU Hua,WANG Xia.Optimization Strategy of Hospital Performance Management Based on Data Envelopment Analysis[J].Chinese Health Quality Management,2021,28(01):70.[doi:10.13912/j.cnki.chqm.2021.28.4.21 ]
[4]舒婷赵韡刘海一.2020年我国医院电子病历系统应用水平分析[J].中国卫生质量管理,2022,29(01):8.[doi:10.13912/j.cnki.chqm.2022.29.1.03 ]
　SHU Ting,ZHAO Hua,LIU Haiyi.Analysis on the Application Level of Electronic Medical Record System in Chinese Hospitals in 2020[J].Chinese Health Quality Management,2022,29(01):8.[doi:10.13912/j.cnki.chqm.2022.29.1.03 ]
[5]李红霞徐帆张蕾王凯.我国医院电子病历系统建设效率评价[J].中国卫生质量管理,2022,29(01):11.[doi:10.13912/j.cnki.chqm.2022.29.1.04 ]
　LI Hongxia,XU Fan,ZHANG Lei.Construction Efficiency Evaluation of Electronic Medical Record System in China[J].Chinese Health Quality Management,2022,29(01):11.[doi:10.13912/j.cnki.chqm.2022.29.1.04 ]
[6]徐帆舒婷.高级别医院电子病历系统数据质量评价及对策研究[J].中国卫生质量管理,2022,29(12):6.[doi:10.13912/j.cnki.chqm.2022.29.12.02 ]
　XU Fan,SHU Ting.Data Quality Evaluation and Countermeasures of Electronic Medical Record System in High-Level Hospital[J].Chinese Health Quality Management,2022,29(01):6.[doi:10.13912/j.cnki.chqm.2022.29.12.02 ]
[7]刘雨璇刘霞谭浩周佳佳王军永.基于组态视角的我国中医医疗资源配置效率提升路径探究[J].中国卫生质量管理,2024,31(10):50.[doi:10.13912/j.cnki.chqm.2024.31.10.10]
　LIU Yuxuan,LIU Xia,TAN Hao.Research on the Improvement Path of Traditional Chinese Medicine Medical Resources Allocation Efficiency in China Based on the Configuration Perspective[J].Chinese Health Quality Management,2024,31(01):50.[doi:10.13912/j.cnki.chqm.2024.31.10.10]
[8]尚慧恩张艳敏路阳韩斯宇刘钰鹏.基于DEA—Malmquist 指数的新疆某三甲医院优势专科研究型学科效率评估与分析[J].中国卫生质量管理,2025,32(03):33.[doi:10.13912/j.cnki.chqm.2025.32.3.07]
　SHANG Huien,ZHANG Yanmin,LU Yang.Efficiency Evaluation and Analysis of Research Disciplines with Dominant Specialties in a Tertiary Hospital in Xinjiang Based on DEA-Malmquist Index[J].Chinese Health Quality Management,2025,32(01):33.[doi:10.13912/j.cnki.chqm.2025.32.3.07]
[9]路阳尚慧恩乔铮韩斯宇张艳敏.基于投入-产出评价的国家重点专科学科发展目标制订研究[J].中国卫生质量管理,2025,32(04):42.[doi:10.13912/j.cnki.chqm.2025.32.4.10]
　LU Yang,SHANG Huien,QIAO Zheng.Setting Development Goals for Disciplines of National Key Specialties Based on Input-Output Evaluation[J].Chinese Health Quality Management,2025,32(01):42.[doi:10.13912/j.cnki.chqm.2025.32.4.10]
[10]崔有文徐进谢树莹宝磊.基于DEA-Malmquist指数模型的扬州市互联网医院运行效率评价研究[J].中国卫生质量管理,2026,33(5):34.[doi:10.13912/j.cnki.chqm.2026.33.5.07]
　CUI Youwen,XU Jin,XIE Shuying.Research on the Operational Efficiency Evaluation of Internet Hospitals in Yangzhou City Based on the DEA-Malmquist Model[J].Chinese Health Quality Management,2026,33(01):34.[doi:10.13912/j.cnki.chqm.2026.33.5.07]
[11]霍添琪徐帆李红霞张蕾.基于SE-SBM模型的贵州省三级医院电子病历系统建设效率评价[J].中国卫生质量管理,2022,29(01):16.[doi:10.13912/j.cnki.chqm.2022.29.1.05 ]
　HUO Tianqi,XU Fan,LI Hongxia.Efficiency Evaluation of Electronic Medical Record System Construction in Tertiary Hospitals in Guizhou Province Based on SE-SBM Model[J].Chinese Health Quality Management,2022,29(01):16.[doi:10.13912/j.cnki.chqm.2022.29.1.05 ]

更新日期/Last Update: 2022-01-28