数字健康和医疗保健价值链之间的动态联系:来自3阶段网络DEA模型的证据
Shiu-Wan Hung1, Chi-Yun Chiu1, Wen-Min Lu2
1Department of Business Administration, National Central University, Taiwan/R.O.C.
概括
数字健康 (DH) 通过特定的效率阶段影响医疗价值链 (HVC). 集成的DH系统和运营重点提高了性能,与联盟医院的分散系统不同.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 运营管理 运营管理
背景情况:
- 医疗保健价值链 (HVC) 涵盖了从资源投入到服务交付的整个生产流.
- 现有的文献缺乏一个明确的分析机制来评估HVC阶段的数字健康 (DH) 转型.
- 这种差距可能会培养关于DH投资自动提高效率而不考虑战略途径的误解.
研究的目的:
- 提出和验证一个三阶段的生产过程评估框架 (管理,技术,经济效率),以评估DH对HVC的影响.
- 系统地分析DH采用如何影响医疗保健价值链不同阶段的效率.
- 通过DH提供战略指导,以优化医疗保健系统的资源利用和价值创造.
主要方法:
- 利用了38家台湾医院 (2015-2021) 的纵向数据.
- 采用一个非定向的三阶段Slack-Based测量数据包围分析 (SBM-DEA) 模型.
- 实施了基准分析矩阵,以确定效率变化和表现最佳的机构.
主要成果:
- 与独立医院相比,由于系统集成不足,具有分散的DH系统的联盟医院表现不佳.
- 专科医院表现出卓越的管理和技术效率,这是由于运营重点和简化工作流程.
- 基准分析矩阵成功确定了最佳参考组,为联盟医院提供了可操作的见解.
结论:
- 该研究建立了一个结构化的分析模型,通过阐明DH对医疗保健绩效的多维影响,推进HVC理论.
- 拟议的框架澄清了将DH采用与效率改进联系在一起的机制.
- 为提高医疗保健系统的资源利用和价值创造提供战略指导.
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