引用本文:崔成森, 尹超邦, 左旭, 孟开.基于DEA的北京市住院医师规范化培训基地效率分析[J].中国卫生政策研究,2020,13(5):26-30 |
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基于DEA的北京市住院医师规范化培训基地效率分析 |
投稿时间:2020-02-13 修订日期:2020-04-20 PDF全文浏览 HTML全文浏览 |
崔成森1, 尹超邦2, 左旭3, 孟开1 |
1. 首都医科大学公共卫生学院 北京 100069; 2. 首都医科大学附属北京潞河医院 北京 101199; 3. 首都医科大学附属北京友谊医院 北京 100050 |
摘要:目的:分析北京市住院医师规范化培训基地(含协同医院)的效率情况。方法:运用DEA方法,选取临床技能模拟训练中心面积、师资人数、培训基地经费为投入指标,培训人数为产出指标,对北京市51家住培基地进行效率分析。结果:北京市各住培基地综合技术效率、纯技术效率、规模效率平均值为0.37、0.60、0.68,其中三类效率均有效的医院共有4家。按不同分类看,综合技术效率和纯技术效率最高的是部队医院;规模效率最高的是市属医院。从投影值结果看,各住培基地均呈现产出不足的情况。结论:北京市各住培基地都应该在维持现有投入的情况下,尽可能的完善培训的教学设施,在场地有限的情况下利用各种现代化的模拟手段提高使用效率,增加住培医生的培养人数,同时严格制定带教老师的选拔标准,提高带教老师质量与水平。 |
关键词:住院医师规范化培训 住培基地 效率 DEA |
基金项目:北京市卫生健康委员会2017年委托课题 |
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Efficiency analysis of the standardized training bases for resident doctors in Beijing: Based on DEA |
CUI Cheng-sen1, YIN Chao-bang2, ZUO Xu3, MENG Kai1 |
1. School of Public Health, Capital Medical University, Beijing 100069, China; 2. Beijing Luhe Hospital, Capital Medical University, Beijing 101199, China; 3. Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China |
Abstract:Objective:To explore the efficiency of standardized training bases for resident doctors and collaborative hospitals in Beijing. Methods:The DEA method was used to analyze the efficiency of 51 residential training bases in Beijing. The area of clinical medical simulation training center, the number of teachers, and the training bases expenditures were selected as input indicators, and the number of trained doctors as output indicators. Results:The average values of comprehensive technical efficiency, pure technical efficiency and scale efficiency of standardized training bases for resident doctors and collaborative hospitals in Beijing were 0.37, 0.60, and 0.68, respectively, and there were 4 hospitals in which all the three types of efficiency were found to be effective. According to different classifications, the military hospitals had the highest comprehensive technical efficiency value and pure technical efficiency value, and the municipal hospitals had the highest scale efficiency values. Judging from the results of the projection values, all training bases and collaborative hospitals showed redundant input and insufficient output. Conclusions:All the standardized training bases for resident doctors and collaborative hospitals in Beijing should improve the teaching facilities of training as much as possible while maintaining the existing investment. In addition, they should use various modern simulation methods to improve the efficiency of operation and increase the number of doctors to be trained. At the same time, the selection criteria for teachers should be strictly formulated in order to improve the teachers' quality and level. |
Key words:Standardized training Training Base Efficiency DEA |
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