ABSTRACT
Objective:
To evaluate the
business performance of an urban public
tertiary hospital in Jiangsu province since the comprehensive reform of urban
public hospitals started from the end of 2015, for reference in developing relevant
policies.
Methods:
Such level-1
indicators as
risk management ability, asset operation
ability, revenue and
expenditure structure management, asset profitability and
future development
ability were selected based on
literature review, along with 14 level-2
indicators, to build an operation performance appraisal
indicator system for urban
public hospitals. The
entropy weight TOPSIS
method was used to evaluate the
business performance of an urban
public hospital in Jiangsu province from 2015 to 2019.
Results:
The
drugs proportion(a level-2
indicator) under the revenue and
expenditure structure management, the
growth rate of fixed assets(a level-2
indicator) under the
future development
ability, and the total return(a level-2
indicator) under the asset profitability, were important ones affecting the
business performance of
hospitals, with the
weights of 0.099, 0.097 and 0.080 respectively. The
business operation performance ranking as calculated by the relative closeness, was 2015(0.515), 2016(0.480), 2019(0.467), 2018(0.450) and 2017(0.356) respectively.
Conclusions:
The reform once resulted in fluctuations in the operation performance of this
hospital, with constant declines from 2015 to 2017. With the deepening reform, its performance recovered after 2018 to some extent. It is suggested to improve the
business operation performance of urban
public hospitals by optimizing their
income and
expenditure structure, improving their asset operation
ability, and matching rationally their asset liability structure, among other
measures.