新疆医科大学学报

目的 测量评价公立医院医学检验资源的运行效率，为其医疗机构医学检验资源的合理高效配置提供参考和建议。方法 以新疆的64家二级以上公立综合医院的检验科室为研究对象，选择检验技术人员数和检验仪器数为投入指标，以检验科室年度接收的总标本数和检验收入为产出指标，采用Super-SBM DEA模型评价各医院医学检验资源的运行效率。结果 64个决策单元的综合技术效率、纯技术效率和规模效率均值分别为0.430、0.653、0.648,绝大部分未达到DEA有效状态，三级医院检验科室的运行效率优于二级医院；有60个决策单元规模收益(RTS)结果显示为递增，有规模扩大优化的空间；投入、产出变量松弛测算显示，大部分决策单元存在投入冗余和产出不足，技术人员和检验设备平均冗余比例分别为38.46%、30.94%。结论 数据包络分析法是对公立医院医学检验资源的配置和运行效率进行科学评价的有效方法。新疆公立综合医院医学检验资源利用效率较低，基层低级别医院尤为明显。建议合理规划配置医学检验资源，提升技术水平，提高检验资源利用效率。

Objective To evaluate the operation efficiency of medical laboratory resources in public general hospitals, and to provide references and suggestions for rational allocation of medical laboratory resources in medical institutions. Methods The medical laboratories of 64 public general hospitals as the object of this study, the number of medical laboratory technicians and instruments were selected as input indicators, the clinical testing incomes and the number of specimen as the output indicators. Super-SBM DEA model was adopted to evaluate the operational efficiency of medical laboratory resources in each hospital. Results The average values of technical efficiency; pure technical efficiency and scale efficiency of 64 decision-making units(DMUs) were 0.430, 0.653 and 0.648, respectively. The vast majority of medical laboratories were not DEA efficient, the operation efficiency of the laboratory in the tertiary hospital was better than that in the secondary hospital. The return to scale(RTS) results of 60 DMUs were increasing, indicating that there was room for scale expansion and optimization. Most DMUs had input redundancy and output insufficiency. The average redundancy ratio of technicians and equipments were 38.46% and 30.94% respectively. Conclusion Data envelopment analysis(DEA) is an effective method to scientifically evaluate the allocation and operation efficiency of medical laboratory resources in public hospitals. The utilization efficiency of medical laboratory resources in Xinjiang public general hospitals are relatively low, especially in low-level hospitals. It is suggested to plan and allocate medical laboratory resources reasonably and to improve the technical level and utilization efficiency of laboratory resources.