[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):021-24.[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):021-24.[doi:10.13912/j.cnki.chqm.2022.29.1.06 ]
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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
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《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:
021-24
栏目:
特别关注
出版日期:
2022-01-28

文章信息/Info

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.

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更新日期/Last Update: 2022-01-28