摘要
目的:基于数据包络分析(DEA)法构建双元绩效管理模型,评估医疗设备计量管理质量并制定管理对策。方法:采用DEA中的班克-卡内斯-库珀动态评价模型(DEA-BCC)构建双元绩效管理模型,从投入绩效和产出绩效两个维度搭建评价指标体系进行设备计量绩效综合评价,制定管理队伍提升、计量流程优化和日常监督管理三维举措改进设备计量管理。选取2022年至2023年中国福利会国际和平妇幼保健院临床在用的183台医疗设备,将2022年1月至12月的176台医疗设备计量管理采用主观评价基础上进行管理对策制定管理(主观评价),将2023年1月至12月的177台医疗设备(包括主观评价在用的170台)计量管理采用双元绩效评价基础上进行管理对策制定管理(双元绩效评价)。自制网络在线调研问卷,对104名临床科室设备使用操作人员进行认可度调研,其中主观评价管理方法48名,双元绩效评价56名,对比两种管理方法医疗设备计量管理绩效、管理实效和临床认可度。结果:采用双元绩效评价管理的设备标准化投入绩效、产出绩效和综合绩效数值分别为87.74±3.61、97.19±1.70和1.11±0.04,投入绩效低于主观评价管理方法,产出绩效和综合绩效高于主观评价管理方法,差异有统计学意义(t=4.866、4.457、7.793,P<0.05);采用双元绩效评价管理的力学、热学、理化、纺织和医学实验室医疗设备平均计量合格率分别为(97.99±1.14)%、(97.39±2.08)%、(97.43±1.87)%、(98.06±0.92)%和(96.77±2.03)%,均高于主观评价管理方法,差异有统计学意义(t=4.431、3.232、3.324、4.928、3.352,P<0.05);采用双元绩效评价管理的56名设备使用操作人员对设备管理制度、计量频次、计量事项、计量效果和计量人员服务质量满意率分别为98.21%、94.64%、96.43%、100.00%和98.21%,均高于主观评价管理方法,差异有统计学意义(χ^(2)=7.240、5.660、6.296、6.128、12.735,P<0.05)。结论:双元绩效管理模型能够控制医疗设备计量管理投入,提高设备计量管理产出,改进设备运行质量,改善设备临床服务水平。
Objective:To construct a dual performance management model based on data envelopment analysis(DEA),so as to assess the quality of metrological management of medical equipment,and formulate management countermeasures.Methods:The dual performance management model was constructed by adopting data envelopment analysis-banker-charnes-cooper(DEA-BCC).The evaluation indicator system was built from two dimensionalities included input performance and output performance,which can perform comprehensive evaluation meterring performance of equipment,so as to formulate three dimensional measure included improvement of management team,optimization of metrological process,and routine monitor and management for improving metrological management of equipment.A total of 183 used medical equipment of International Peace Maternity&Child Health Hospital of China welfare institute(IPMCH)from 2022 to 2023 were selected.The metrological management of 176 medical equipment from January to December 2022 adopted formulation of management countermeasures on the basis of subjective evaluation to perform management(subjective evaluation),and the metrological management of 177 medical equipment(included 170 equipment that were used in subjective evaluation)from January to December 2023 adopted formulation of management countermeasures on the basis of dual performance evaluation(dual performance evaluation).The self-made online survey questionnaire was used to investigate the recognition degree of 104 operators of clinical department,who used the equipment.Among of them,48 operators received the management method of subjective evaluation,and 56 operators received the dual performance evaluation.The metrological management performance,management effectiveness and clinical recognition degree of the two kinds of management methods for medical equipment were compared.Results:The values of standardized input performance,output performance and comprehensive performance of equipment,which adopted dual performance evaluation management,were respectively 87.74±3.61,97.19±1.70 and 1.11±0.04.Input performance of dual performance evaluation management was lower than that of subjective evaluation management method,and output performance and comprehensive performance of dual performance evaluation management were higher than these of subjective evaluation management method,and the differences of them between two methods were statistically significant(t=4.866,4.457,7.793,P<0.05).The average metrological pass rates of mechanics,thermodynamics,thermology,textiles and medical equipment of medical laboratory of using dual performance evaluation management were(97.99±1.14)%,(97.39±2.08)%,(97.43±1.87)%,(98.06±0.92)%and(96.77±2.03)%,respectively.All of them were higher than these of using subjective evaluation management method,and the differences of them between two methods were statistically significant(t=4.431,3.232,3.324,4.928,3.352,P<0.05).The satisfaction rates of 56 operators of equipment,who adopted dual performance evaluation management,were respectively 98.21%,94.64%,96.43%,100.00%and 98.21%for the management system,metrological frequency,metrological items,metrological effect and service quality of metrological staffs of equipment,which were higher than these of subjective evaluation management method,and the differences of them between two methods were statistically significant(χ^(2)=7.240,5.660,6.296,6.128,12.735,P<0.05).Conclusion:The dual performance management model can control the input of metrological management of medical equipment,and enhance the output of metrological management of medical equipment,and promote the operation quality of medical equipment,and improve the level of clinical service of medical equipment.
作者
王裕生
彭永安
杨梦迪
唐一帆
Wang Yusheng;Peng Yongan;Yang Mengdi;Tang Yifan(Department of Equipment,International Peace Maternity&Child Health Hospital of China Welfare Institute,Shanghai 200030,China)
出处
《中国医学装备》
2025年第1期102-107,共6页
China Medical Equipment
关键词
医疗设备计量
投入绩效
产出绩效
数据包络分析(DEA)
综合评价
Metrology of medical equipment
Input performance
Output performance
Data envelopment analysis(DEA)
Comprehensive evaluation
