评估一站式危机中心在管理家庭暴力案件方面的效率
K L Siew1, S S L Wong1, K S Chew2
1Faculty of Economics and Business, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
The Medical journal of Malaysia
|January 30, 2026
概括
马来西亚的家庭暴力 (DV) 干预中心需要优化运营规模以提高效率. 改善资源分配和团队协调可以缩短响应时间,提高对DV幸存者的护理.
科学领域:
- 公共卫生 公共卫生
- 医疗服务管理 医疗服务管理
- 运营研究 运营研究
背景情况:
- 家庭暴力 (DV) 是一个全球公共卫生问题,需要有效的干预.
- 马来西亚的一站式危机中心 (OSCC) 为DV受害者提供多部门服务,但缺乏效率评估.
- 评估OSCC的效率对于改善向弱势群体提供医疗保健至关重要.
研究的目的:
- 评估三个马来西亚一站式危机中心 (OSCC) 的效率和有效性.
- 确定在DV受害者支持服务中需要改进的领域.
- 使用两阶段的数据包围分析 (DEA) 进行全面评估.
主要方法:
- 153名成年DV受害者从马来西亚的三个OSCC中被招募.
- 输入:医生,护士和工作人员的数量.
- 输出:总响应时间和服务质量 (OSCC-Qual仪器).
- 两个阶段的数据包裹分析 (DEA):面向输入的BCC用于响应时间,面向输出的BCC用于服务质量.
主要成果:
- 社会工作者单位在各中心的平均响应时间较长.
- 人员增加与服务质量的多部门协调有负相关性.
- 观察到高纯技术效率,但所有中心都存在规模低效率.
- 以产出为导向的分析显示,纯粹的技术效率很好,但持续存在规模低效,特别是在萨拉瓦克总医院和马来西亚大学科学院医院.
结论:
- 优化OSCC的运营规模对于提高效率至关重要.
- 量身定制的资源配置和增强的多学科团队协调可以减少响应时间.
- 改善OSCC的运作对于更好地照顾和支持家庭暴力受害者至关重要.
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