医学教育管理 ›› 2021, Vol. 7 ›› Issue (4): 450-455.doi: 10.3969/j.issn.2096-045X.2021.04.020

• 医院管理 • 上一篇    下一篇

广义模糊DEA模型在区域医疗资源优化配置中的应用

阮轶磊   

  1. 首都医科大学附属北京天坛医院党委办公室,北京  100070
  • 收稿日期:2021-04-19 出版日期:2021-08-20 发布日期:2021-09-02

Application of generalized fuzzy DEA model in optimal allocation of regional medical resources

Ruan Yilei   

  1. Party Committee Office, Tiantan Hospital, Capital Medical University, Beijing 100070, China
  • Received:2021-04-19 Online:2021-08-20 Published:2021-09-02

摘要: 目的  通过建立公立医院合作决策模型,实现在任选决策单元中选择最佳合作伙伴,提升医疗资源利用效率,推动区域内医疗资源最佳配置。方法  在传统数据包络分析(data envelopment analysis,DEA)模型的基础上,构建对模糊指标和任选决策单元具有更好适用性的广义模糊DEA合作决策模型,通过输入职工总数、病床数、年门急诊量、出院人数、总收入、医院等级评价等指标信息,计算出某一区域内不同医院的合作效率区间,从而实现在任选决策单元中科学选择最佳合作伙伴。结果  以河南省某地区10所医院为例进行分析验证可知,广义模糊DEA模型对该区域内公立医院之间的合作决策具有很好的效果,可有效为区域内任一医院选择最佳合作伙伴。结论  与传统DEA方法相比,广义模糊DEA方法更具灵活性,能较好地评价复杂模型,可以对任选决策单元中的个体实现最优合作决策选择,为实现区域医疗资源优化配置提供决策支撑。

关键词: 广义模糊数据包络分析, 医疗资源, 合作决策模型, 优化配置

Abstract: Objective  By establishing a cooperative decision-making model for public hospitals, to select the best partner among optional decision-making units, to improve the efficiency of medical resource utilization, and to promote the best allocation of medical resources in the region. Methods  Based on the traditional data envelopment analysis (DEA) model, a generalized fuzzy DEA cooperative decision-making model with better applicability to fuzzy indicators and optional decision-making units is constructed. This model inputs the total number of employees, the number of beds, and the number of years index information including the number of outpatient and emergency services, the number of discharged patients, total income, and hospital grade evaluation, and calculates the cooperation efficiency range of different hospitals in a certain area, so as to realize the scientific selection of the best partner among optional decision-making units.  Results  The analysis and verification of 10 hospitals in a certain area of Henan Province as an example shows that the generalized fuzzy DEA model has a good effect on the cooperative decision-making between public hospitals in the area, and it can effectively choose the best partner for any hospital in the area.  Conclusion  Compared with the traditional DEA model, the generalized fuzzy DEA model is more flexible, can better evaluate complex models, can realize the optimal cooperative decision-making choice for the individuals in the optional decision-making units, and provide decision-making for realizing the optimal allocation of regional medical resources.

Key words: generalized fuzzy data envelopment analysis, medical resources, cooperative decision-making model, optimal allocation

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