Evaluation and influencing factors of operational efficiency of tertiary public hospitals in Anhui province under the background of performance appraisal of national public hospitals
10.3760/cma.j.cn111325-20240301-00143
- VernacularTitle:"国考"背景下安徽省三级公立医院运营效率评价及影响因素分析
- Author:
Yu WANG
1
;
Danna ZHAO
;
Shengbo SI
;
Jian CHEN
Author Information
1. 安徽医科大学第二附属医院质量管理办公室，合肥 230601
- Publication Type:Journal Article
- Keywords:
Tertiary public hospital;
Performance appraisal;
Operational efficiency;
Entropy weight TOPSIS method
- From:
Chinese Journal of Hospital Administration
2024;40(10):769-775
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the present situation and influencing factors of operational efficiency of tertiary public hospitals in Anhui province, so as to provide reference for promoting the development of medical and health care in Anhui province.Methods:The operational efficiency index of performance appraisal of national tertiary public hospitals was taken as the research index system. The operational efficiency data of 75 tertiary public hospitals in Anhui province in 2020 and 2021 were extracted from the " 2021 Performance Appraisal Analysis Report of Anhui Provincial Tertiary Public Hospitals" compiled by the Anhui Provincial Public Hospital Supervision and Management Center. The entropy weight TOPSIS method was used to evaluate the operational efficiency, and logistic regression analysis was used to identify the influencing factors of operational efficiency of tertiary public hospitals in Anhui province.Results:Among the 9 operational efficiency indicators, 7 indicators showed better data in 2021 than in 2020. The proportion of medical service revenue in medical revenue and the proportion of personnel expenses in operating expenses were the key indicators affecting the operational efficiency. Multivariate logistic regression analysis showed that specialized hospitals ( OR=3.350, 95% CI 1.068-11.591) and annual outpatient visits>500 000 ( OR=0.248, 95% CI 0.073-0.845) were the influencing factors on the operational efficiency of tertiary public hospitals in Anhui province ( P<0.05). Conclusions:The operational efficiency of tertiary public hospitals in Anhui province was improved overall in 2021 compared with 2020. It is suggested to further optimize the structure of hospital revenue and expenditure, promote the implementation of hierarchical diagnosis and treatment policy, and optimize the allocation of health resources, so as to guide hospitals to improve operational efficiency through connotative development.
