某三甲综合医院医院感染管理投入产出效率分析

Input-output efficiency of health care-associated infections management in a three-A comprehensive hospital

  • 摘要: 目的 全面、深入地评价某综合三甲医院各临床病房在感染管理方面的效率情况,通过精准地评价分析,为进一步提高该医院的感染管理质量提供有针对性和可操作参考依据。方法 选取2024年1月-12月首都医科大学附属北京天坛医院51个临床病房作为决策单元,运用数据包络分析法(DEA)对其综合效率展开系统评价。结果 51个临床病房的综合效率平均值为0.32,纯技术效率平均值为0.40,规模效率平均值为0.89。其中,DEA有效病房1间,占比为1.96%; 弱有效病房有32间,占比62.75%; DEA无效病房有18间,占比为35.29%。结论 医院在感染管理整体综合效率处于偏低水平,且以纯技术效率低下为主,主要体现在各临床病房手卫生依从性不足。

     

    Abstract: OBJECTIVE To comprehensively and deeply evaluate the efficiency of infection management in the clinical wards of a comprehensive three-A hospital and analyze precisely so as to provide bases for targeted and operable measures for further improvement of infection management quality. METHODS Totally 51 clinical wards that were chosen from Beijing Tiantan Hospital, Capital Medical University from Jan. 2024 to Dec. 2024 were set as Decision-Making Units (DMUs). Data Envelopment Analysis (DEA) method was employed to systematically evaluate their comprehensive efficiency. RESULTS The average comprehensive efficiency of the 51 clinical wards was 0.32, with the average pure technical efficiency at 0.40, the average scale efficiency at 0.89. Among the clinical wards, there was 1 (1.96%) ward efficient for DEA, 32 (62.75%) wards weakly efficient, and 18 (35.29%) wards inefficient for DEA. CONCLUSIONS The hospital exhibits a low comprehensive efficiency of the infection management, predominated by the low efficiency of pure technology; it is mainly manifested in the insufficient hand hygiene compliance.

     

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