ABSTRACT
Objective:To improve the evaluation method of hospital beds efficiency based on diagnosis-related groups (DRG), and to provide a basis for hospitals to allocate beds reasonably and improve bed efficiency.Methods:Taking a tertiary hospital in Beijing as the research object, the types of beds were evaluated by the beds utilization matrix with the time consumption index as the X-axis and the bed utilization rate as the Y-axis. The types of beds in the department were divided into efficiency type, pressure type, turnover type, and idle type. The efficiency of medical services and the level of diagnosis and treatment were evaluated by the weight of DRG per bed. The calculation method of theoretical number of beds was improved by incorporating hospital case mix index as a risk adjustment factor into the formula to evaluate the status of beds allocation. Combining the bed type, DRG weight per bed, and bed allocation status, the improvement emphasis and management strategy of bed utilization could be comprehensively analyzed.Results:Among the 24 departments in the hospital, there were 5, 9, 1 and 9 departments being efficiency type, pressure type, turnover type and idle type, respectively. The weight per bed of 11 departments was higher than the average level of the hospital. There were 16, 5, and 3 departments with appropriate, fewer, and excessive beds, respectively.Conclusions:The comprehensive analysis of beds utilization type, allocation status and weight of each bed based on DRG is an effective method to evaluate the efficiency of hospital beds, and can provide decision-making basis for hospital bed resource allocation, hospital operation focus adjustment, and subject development planning.
ABSTRACT
Objective@#To learn the technical efficiency and influencing factors of hospital beds in China′s hospitals from 2010 to 2016.@*Methods@#The two-stage Network DEA-Tobit model was used to analyze the technical efficiency and influencing factors of hospital beds at all levels in China.@*Results@#There was a big difference in the utilization status of hospital beds at all levels. The bed burden of tertiary hospitals was heavier, and their average bed occupancy rate was 102%, while the potential of primary and secondary hospital beds was relatively large. The average technical efficiency of the hospitals in the primary, secondary and tertiary hospitals was 0.99, 0.37 and 0.82, respectively. Over-investment of resources for beds in hospitals at all levels was found with insufficient output, and the utilization of bed resources in primary and secondary hospitals was seriously insufficient. The nurse-bed ratio, per capita medical expenses of hospitalized patients, per-bed income and financial subsidy to the technical efficiency of the hospital bed were statistically significant. The correlation coefficient between the guard bed ratio and the technical efficiency of the hospital bed was 3.106 409.@*Conclusions@#It is necessary to further implement the hierarchical medical system and clarify the functional positioning of hospitals at all levels. It is recommended to control the scale of investment and improve the utilization efficiency of existing bed resources, and it is also imperative to improve the medical technology level and diagnosis rate of hospitals at all levels, and promote the maximization of bed utilization efficiency.
ABSTRACT
Objective To learn the technical efficiency and influencing factors of hospital beds in China's hospitals from 2010 to 2016.Methods The two-stage Network DEA-Tobit model was used to analyze the technical efficiency and influencing factors of hospital beds at all levels in China.Results There was a big difference in the utilization status of hospital beds at all levels.The bed burden of tertiary hospitals was heavier,and their average bed occupancy rate was 102％,while the potential of primary and secondary hospital beds was relatively large.The average technical efficiency of the hospitals in the primary,secondary and tertiary hospitals was 0.99,0.37 and 0.82,respectively.Over-investment of resources for beds in hospitals at all levels was found with insufficient output,and the utilization of bed resources in primary and secondary hospitals was seriously insufficient.The nurse-bed ratio,per capita medical expenses of hospitalized patients,per-bed income and financial subsidy to the technical efficiency of the hospital bed were statistically significant.The correlation coefficient between the guard bed ratio and the technical efficiency of the hospital bed was 3.106 409.Conclusions It is necessary to further implement the hierarchical medical system and clarify the functional positioning of hospitals at all levels.It is recommended to control the scale of investment and improve the utilization efficiency of existing bed resources,and it is also imperative to improve the medical technology level and diagnosis rate of hospitals at all levels,and promote the maximization of bed utilization efficiency.