波兰东部地区医院 (2015-2024) 危机时效率:数据包裹分析
Krystian Małyszko1,2, Bartosz Pędziński3,4, Dominik Maślach3,5
1Department of Health, Marshal's Office of the Podlaskie Voivodeship, Bialystok, Poland.
Frontiers in health services
|February 23, 2026
概括
波兰的医院效率在波兰的医院效率.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 运营研究 运营研究
背景情况:
- 波兰边境地区的医院面临着人员压力,成本上升以及流行病的干扰.
- 对这些具有战略意义的重要区域医院来说,评估运营和财务效率至关重要.
研究的目的:
- 评估2015-2024年三家区域医院 (BIA,LOM,SUW) 运营和财务效率的逐年变化.
- 分析COVID-19大流行对波兰东部边境地区医院效率的影响.
主要方法:
- 以输入为导向的数据包裹分析 (DEA) 使用CCR (恒定返回量) 和BCC (可变返回量) 模型.
- 对运营和财务效率领域的分析,以效率评分的95%启动信任区间进行分析.
- 评估十年 (2015-2024) 的逐年变化.
主要成果:
- 在大流行期间,运营效率下降,并且出现了部分恢复,医院之间存在显著的异质性 (例如,LOM的TE_CCR降至0.399).
- 财务效率也经历了低谷和复苏,LOM显示运营和财务业绩之间的差异.
- 在运营和财务领域都发现了持续的规模相关的低效率.
结论:
- 这十年揭示了疫情引起的医院效率下降,随后是部分正常化,突出了医院之间的差异.
- 建议进行常规的,特定领域的效率监测,以实现边境地区的透明绩效跟踪.
- 调查结果受到小样本规模,年边界的低歧视力和汇总数据的限制.
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