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通过效率,有效性和床位容量的利用来评估治疗养中心的绩效:一个追溯的定量研究
Ahmed Alhidary1,2, Pesigan Arturo1, Ali Al-Waleedi3
1EM/ACO/YEM/WHO Country Office, Sana'a,Yemen.
PloS one
|May 5, 2025
概括
也门的治疗养中心显示出强的康复率,超过标准. 然而,提高效率和床位利用率对于最佳的资源管理和服务可持续性至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗服务管理 医疗服务管理
- 营养不良研究 营养不良研究
背景情况:
- 可持续的卫生服务需要平衡资源使用和医疗保健提供.
- 监测医疗服务绩效对于识别和解决变异至关重要.
- 治疗性养中心 (TFC) 在应对严重急性营养不良方面发挥着至关重要的作用.
研究的目的:
- 评估也门治疗养中心 (TFC) 的表现.
- 评估TFC的效率,有效性和床位使用情况.
- 为了确定与TFC性能相关的因素.
主要方法:
- 一项回顾性定量研究分析了来自也门94个TFC的26,887条记录 (2022年1月至12月).
- 测量了临床结果 (恢复,死亡,违约率).
- 数据包围分析和Pabon Lasso模型评估了技术效率和性能水平,并对相关因素进行回归分析.
主要成果:
- 恢复率为90%,违约率为3.6%,死亡率为1.3%.
- 平均有效率为95%,技术效率为73%,床位利用率为63%,整体性能为82%.
- 床位占用率,床位周转率和停留时间 (R2 = .805) 对效率产生了积极的影响.
结论:
- 也门的TFC表现强,超过了Sphere的成果和有效性标准.
- 需要提高效率和床位利用率,以达到最佳标准.
- 为进一步提高性能,建议优化资源利用.
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