基于SE-SBM模型的贵州省三级医院电子病历系统建设效率评价

目的对贵州省2019年三级医院电子病历系统建设效率进行评价，为提高医院信息化水平提供参考。方法以贵州省58家三级医院为研究对象，采用超效率DEA模型（SE-SBM模型），从投入指标、产出指标两方面，测算电子病历系统建设综合技术效率、纯技术效率和规模效率。结果58家医院中，5家医院处于DEA有效状态，53家医院处于非DEA有效状态。医院信息部门人员未出现冗余，但21家医院存在不同程度的信息化投入冗余。16家医院电子病历系统级别产出不足，29家医院电子病历系统评分产出不足。结论贵州省三级医院电子病历系统建设普遍存在产出不足情况，整体效率有待进一步提高。医院应更加重视电子病历系统建设，加强精细化管理，提高资源利用效率。

Efficiency Evaluation of Electronic Medical Record System Construction in Tertiary Hospitals in Guizhou Province Based on SE-SBM Model

Objective To evaluate the construction efficiency of electronic medical record system in tertiary hospitals of Guizhou Province,and to provide reference for improving the level of hospital informatization.Methods Taking the 58 tertiary hospitals in Guizhou Province as the study objects,super-efficiency DEA model(SE-SBM model)was used to calculate the comprehensive technical efficiency,pure technical efficiency and scale efficiency from two aspects of input and output indicators.Results Among the 58 hospitals,5 hospitals were in DEA effective state,and 53 hospitals were in non-DEA effective state.There was no redundancy in the number of personnel in hospital information departments,but 21 hospitals had different degrees of redundancy in informationization input.16 hospitals had insufficient electronic medical record system level output,and 29 hospitals had insufficient electronic medical record system score output.Conclusion In the construction of electronic medical record system in tertiary hospitals in Guizhou Province,output is generally insufficient,and its overall efficiency needs to be further improved.Hospitals should pay more attention to the construction of electronic medical record system,strengthen refined management,and improve the efficiency of resource utilization.