基于平衡计分卡的大型医疗设备绩效评价体系构建研究OA
Research on the Construction of a Performance Evaluation System for Large Medical Equipment Based on the Balanced Scorecard
目的 为加强公立医院大型医疗设备精细化管理,优化设备配置与使用效率,本研究旨在构建大型医疗设备绩效评价体系,用于分析评价设备配置符合度与使用效益.方法 以医院战略目标为导向,基于平衡计分卡理论,确定评价维度,通过文献计量统计筛选指标,结合调查问卷法确定最终指标及权重,采用对标赋值法制定评分细则,构建综合绩效评价体系.结果 最终形成的评价体系包含一级指标5个(经济效益、社会效益、配置符合、运行状态、科研效益),二级指标13个;体系可全面反映大型医疗设备的配置情况、运行状态与效益成果,贯穿设备全生命周期,可以进行多维度综合定性定量分析.以某医院直线加速器为实证对象,2021-2023年综合绩效评分分别为49.37分、43.91分、56.41分(均低于60分),明确设备存在高端功能未启用、科研规模小等问题,据此提出改进措施.结论 实证研究证实,基于平衡计分卡的大型医疗设备绩效评价体系具有科学性、可行性、有效性;该体系可为设备购置决策、全生命周期管理提供依据,对提升设备与资金使用效率具有重要理论价值与现实意义,后续需结合实践进一步优化指标与评分标准.
Objective To strengthen the refined management of large medical equipment in public hospitals,optimize equipment allocation and utilization efficiency,this study aims to construct a performance evaluation system for large medical equipment to analyze and evaluate the compliance of equipment allocation and utilization benefits.Methods Guided by the hospital's strategic goals and based on the balanced scorecard theory,the evaluation dimensions were determined.Candidate indicators were screened through bibliometric statistics,and the final indicators and their weights were confirmed using a questionnaire survey method.A benchmarking assignment method was adopted to formulate scoring criteria,thereby establishing a comprehensive performance evaluation system.Results The final evaluation system consists of 5 first-level indicators(economic benefits,social benefits,allocation compliance,operation status,and scientific research benefits)and 13 second-level indicators.This system can fully reflect the allocation status,operation status,and benefit outcomes of large medical equipment,cover the entire life cycle of the equipment,and support multi-dimensional comprehensive qualitative and quantitative analysis.Taking a linear accelerator in a hospital as an empirical object,its comprehensive performance scores from 2021 to 2023 were 49.37,43.91,and 56.41 respectively(all below 60 points).The study identified problems such as unused high-end functions and small-scale scientific research of the equipment,and proposed improvement measures accordingly.Conclusion Empirical research confirms that the performance evaluation system for large medical equipment based on the balanced scorecard is scientific,feasible,and effective.This system can provide a basis for equipment procurement decisions and full-life-cycle management,and has important theoretical value and practical significance for improving the utilization efficiency of equipment and funds.Future research needs to further optimize the indicators and scoring criteria in combination with practical applications.
官蕾
重庆市人民医院 财务处,重庆 401121
医药卫生
大型医疗设备平衡计分卡文献计量统计问卷调查指标体系构建绩效评价实践
large medical equipmentbalanced scorecardbibliometric statisticsquestionnaire surveyindicator system constructionperformance evaluation practice
《中国医疗设备》 2025 (10)
114-120,7
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