公立医院床位利用效率及配置合理性评估研究OA北大核心CSTPCD

Objective To analyze the bed utilization efficiency of various departments in a Grade-3A public hospital in Shanghai,and to provide methodological basis for evaluating the rationality of bed resources allocation.Method According to the medical operation data of a Grade-3A hospital in Shanghai in 2023,a bed utilization model was created to visually evaluate the bed efficiency.The utilization indexes were used to measure the available bed capacity in each department,which contributes to establish the bed adjustment protocol.A multi-layer perceptron neural network was employed to evaluate the protocol's specificity,rationality and feasibility.Result The bed utilization model indicated that 11(25.00%)departments shown bed efficiency,11(25.00%)departments exhibited bed weak transition,16(36.36%)departments had idle beds,and 6(13.64%)departments had occupied beds.In addition,bed efficiency analysis showed that the number of beds in 8 departments should remain the same,be reduced in 16 departments,and be expanded in 20 departments on demands.A multi-layer perceptron neural network was used to construct a system of bed-fixation model,bed-reduction model and bed-expansion model.The area under receiver operating characteristic(ROC)curve of the bed-fixation model was 0.719 with a sensitivity of 100.00%and a specificity is 40.63%.The area under ROC curve of bed-reduction model was 0.875 with a sensitivity of 83.33%and a specificity of 85.00%.The area under ROC curve of the bed-expansion model was 0.913 with a the sensitivity of 100.00%and a specificity of 72.22%.Conclusion The overall utilization efficiency of hospital beds is poor and differences occur in the utilization efficiency of beds across different departments.The evaluation outcomes of the bed-expansion model created by a multilayer perceptron neural network align well with the bed utilization model and evaluation indexes.This offers a methodological foundation for managing bed resource allocation in hospitals and achieving fine management.