Jia Tongying, Yuan Huiyun
Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
BMC Health Serv Res. 2017 Apr 12;17(1):265. doi: 10.1186/s12913-017-2203-6.
Many large-scaled public hospitals have established branched hospitals in China. This study is to provide evidence for strategy making on the management and development of multi-branched hospitals by evaluating and comparing the operational efficiencies of different hospitals before and after their establishment of branched hospitals.
DEA (Data Envelopment Analysis) window analysis was performed on a 7-year data pool from five public hospitals provided by health authorities and institutional surveys.
The operational efficiencies of sample hospitals measured in this study (including technical efficiency, pure technical efficiency and scale efficiency) had overall trends towards increase during this 7-year period of time, however, a temporary downturn occurred shortly after the establishment of branched hospitals; pure technical efficiency contributed more to the improvement of technical efficiency compared to scale efficiency.
The establishment of branched-hospitals did not lead to a long-term negative effect on hospital operational efficiencies. Our data indicated the importance of improving scale efficiency via the optimization of organizational management, as well as the advantage of a different form of branch-establishment, merging and reorganization. This study brought an insight into the practical application of DEA window analysis on the assessment of hospital operational efficiencies.
中国许多大型公立医院都设立了分院。本研究旨在通过评估和比较不同医院设立分院前后的运营效率，为多分院医院的管理和发展战略制定提供依据。
对卫生部门提供的五家公立医院7年的数据池和机构调查进行数据包络分析（DEA）窗口分析。
本研究中衡量的样本医院运营效率（包括技术效率、纯技术效率和规模效率）在这7年期间总体呈上升趋势，但在设立分院后不久出现了暂时下降；与规模效率相比，纯技术效率对技术效率的提高贡献更大。
设立分院并未对医院运营效率产生长期负面影响。我们的数据表明，通过优化组织管理提高规模效率的重要性，以及不同形式的分院设立、合并和重组的优势。本研究为DEA窗口分析在医院运营效率评估中的实际应用提供了见解。
