基于数据包络分析法的医院护理人力资源利用效率综合评价

doi:10.3969/j.issn.1006-5253.2023.01.007

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摘要目的对护理人力资源利用效率进行评价，为决策者调整和优化卫生资源配置提供参考依据。方法运用数据包络分析（DEA）法的CCR模型和BCC模型对某三级甲等综合医院2021年52个临床科室的护理人力资源进行综合评价，计算其综合效率值、纯技术效率值和规模效率值进行效率分析，并通过投影值分析资源调整的最佳数值。结果该院52个临床科室的综合效率均值为0.89，其中DEA相对有效的科室23个（44.23%），这些科室的资源投入产出达到了最佳组合，处于规模报酬不变状态。55.76%科室的综合效率＜1，提示以上科室的护理人力存在不同程度效率不高的问题。从投入产出指标的投影值看，这些科室的投入投影值与原始值相比大大缩减，资源投入相对冗余或产出相对不足。从大科来看，康复系列科室和妇儿五官综合科的护理人力效率较高，急危重症科室较低。结论该院应针对薄弱科室，进一步优化护理人力资源配置，努力提升护士技术能力；同时充分发挥绩效杠杆，实现护理人力全院调配，从而提高护理效率，使护理资源投入产出最大化。

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	沈大燕
	李龙倜
	吕翻翻
	黎夏

关键词 ：数据包络分析, 护理人力资源, 护理工作量, 效率综合评价

Abstract： Objective To evaluate the utilization efficiency of nursing human resources, so as to provide reference for decision makers to adjust and optimize the allocation of health resources.Methods CCR model and BCC model of data envelopment analysis (DEA) were used to comprehensively evaluate the nursing human resources of 52 clinical departments in a tertiary general hospital in 2021. Comprehensive efficiency value, pure technical efficiency value and scale efficiency value were calculated for efficiency analysis, and the optimal value of resource adjustment was analyzed by projection value.Results The average comprehensive efficiency of 52 clinical departments in the hospital was 0.89, among which 23 departments were relatively effective with DEA, accounting for 44.23%. The resource input-output of these departments reached the best combination and was in the state of constant return to scale. The comprehensive efficiency DEA of 55.76% departments was less than 1, indicating that the nursing manpower in the above departments had different degrees of low efficiency. According to the projected values of the input-output indicators, the projected values of the input of these departments were greatly reduced compared with the original values, and the resource input was relatively redundant or the output was relatively insufficient. From the perspective of large departments, the nursing manpower efficiency of rehabilitation series departments and comprehensive departments of women and children′s facial features was higher, while that of emergency and critical care departments was lower.Conclusion It is suggested that the hospital should further optimize the allocation of nursing human resources and strive to improve the technical ability of nurses for weak departments, give full play to the performance lever, and realize the allocation of nursing manpower throughout the hospital, so as to improve the efficiency of nursing and maximize the input and output of nursing resources.

Key words： data envelopment analysis (DEA) nursing human resource nursing workload comprehensive efficiency evaluation

收稿日期: 2022-08-19

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基金资助: 十堰市太和医院科研基金项目(2021JJXM065)

通讯作者: 沈大燕，Email：249534601@qq.com

引用本文:

沈大燕，李龙倜，吕翻翻，黎夏. 基于数据包络分析法的医院护理人力资源利用效率综合评价[J]. 中国医院统计, 2023, 30(1): 36-42.
Shen Dayan， Li Longti， Lü Fanfan， Li Xia. Comprehensive evaluation of utilization efficiency of hospital nursing human resources based on data envelopment analysis. journal1, 2023, 30(1): 36-42.

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