基于TOPSIS法和波士顿矩阵的医院神经专科能力评估研究 A Study on the Evaluation of Hospital Neurological Specialty Capacity Based on TOPSIS Method and Boston Matrix

Abstract

目的 通过对以神经科学集群建设为特色的三级甲等医院的神经专科能力进行评估，为国内医院的特色专科建设提供参考。 方法 从服务能力、技术能力、质量安全和服务效率4个维度建立神经外科、神经内科专科能力评估指标体系，通过优劣解距离（technique for order preference by similarity to ideal solution，TOPSIS）法纵向比较首都医科大学附属北京天坛医院神经专科2019—2023年发展趋势，并采用波士顿矩阵深入分析神经专科各亚专业建设情况。 结果 2019—2023年首都医科大学附属北京天坛医院神经专科TOPSIS综合得分指数呈上升趋势。神经外科以胶质瘤诊治为主的肿瘤专业1，在技术能力和质量安全方面得分指数最高；神经内科以脑血管病为主的亚专业，在技术能力和服务效率方面得分指数较高，以上两个亚专业在波士顿矩阵中均处于优势巩固区。 结论 2019—2023年首都医科大学附属北京天坛医院神经专科诊治能力不断提升。神经外科亚专业中，专科能力排名最高的为肿瘤专业1，诊疗技术难度较高，同时医疗质量负性事件发生率低。神经内科各亚专业中，脑血管专业诊疗技术难度高且服务高效。 Abstract: Objective To provide a reference for the development of characteristic specialties in domestic hospitals by evaluating the neurological specialty capacity of a tertiary-level class A hospital which is characterized by the construction of a neuroscience cluster. Methods An evaluation index system for the specialty capacity in the Neurosurgery and Neurology Departments was established from four dimensions: service capability, technical capability, quality and safety, and service efficiency. The trend of neurological specialty development at Beijing Tiantan Hospital, Capital Medical University from 2019 to 2023 was compared longitudinally using the technique for order preference by similarity to ideal solution (TOPSIS), and the construction of each subspecialty of neurological specialty was analyzed by the Boston matrix. Results The TOPSIS score index of the neurological specialty at Beijing Tiantan Hospital, Capital Medical University showed an upward trend from 2019 to 2023. The subspecialty of the Neurosurgery Department, named oncology specialty 1, which mainly focuses on the diagnosis and treatment of glioma, achieved the highest score index in terms of technical capability, and quality and safety. The subspecialty of the Neurology Department, which mainly focuses on cerebrovascular diseases, got a higher score index in terms of technical capability and service efficiency. Both subspecialities were located at the advantageous consolidation zone of the Boston matrix. Conclusions The diagnosis and treatment capacity of the neurological specialty of Beijing Tiantan Hospital, Capital Medical University continuously improved from 2019 to 2023. Among the subspecialties of the Neurosurgery Department, oncology specialty 1 ranked No.1 in terms of specialty capacity, with high difficulty in diagnosis and treatment techniques and low incidence of negative medical quality events. Among the subspecialties of the Neurology Department, cerebrovascular specialty has high technical difficulty in diagnosis and treatment and provides efficient services.

Keywords

• 神经专科
• 能力评估
• 优劣解距离法
• 波士顿矩阵
• neurological specialty
• capability evaluation
• technique for order preference by similarity to ideal solution method
• boston matrix