数据要素视角下医院资源配置耦合评价研究
Study on the Dynamics of Coupling Relationship of Hospital Resource Allocation under the Perspective of Data Elements

目的：探究上海市崇明区及其下属某三级医院资源供给和服务利用协调发展情况，通过深入分析耦合协调机制关键影响因素，进一步科学优化配置医院医疗资源。方法：采用CRITIC-TOPSIS法进行赋权评价，构建综合评价模型；基于耦合机制，构建耦合协调度模型，并结合偏最小二乘法结构方程模型(PLS-SEM)探究影响耦合协调的关键因素及其作用路径，对系统间的相互作用关系进行深入分析。结果：医院与区域的资源供给与服务利用综合得分逐步趋于一致；医院资源供给与服务利用两大系统的失调衰退与协调上升阶段与区域资源供给与服务利用系统的发展趋势具有显著一致性；影响医院耦合机制作用最大的是医院资源供给系统，最小的是区域服务利用系统。结论：提高医疗服务质量，强化区域资源协同，构建动态监测机制对提升医院资源管理与可持续发展至关重要。
Objective: To explore the coordinated development of resource supply and service utilization of Chongming District of Shanghai and a tertiary hospital of its subordinates, and to further optimize the allocation of hospital medical resources in a scientific manner through an in-depth analysis of the key influencing factors of the coupling coordination mechanism. Methods: The CRITIC-TOPSIS method is used to carry out empowerment evaluation and construct a comprehensive evaluation model; based on the coupling mechanism, a coupling coordination degree model is constructed and combined with the Partial Least Squares Structural Equation Modeling (PLS-SEM) to explore the key factors affecting the coupling coordination and their paths of action, and to conduct an in-depth analysis of the interactions between the systems. Results: The comprehensive scores of resource supply and service utilization of the hospital and the region gradually converge; there is a significant consistency between the dysfunctional decline and coordinated upward stage of the two major systems of hospital resource supply and service utilization and the development trend of the regional resource supply and service utilization system; it is the hospital resource supply system that has the largest role in influencing the coupling mechanism of the hospital, and the regional service utilization system has the smallest role. Conclusion: Improving the quality of medical services, strengthening regional resource synergy, and constructing a dynamic monitoring mechanism are crucial to enhancing hospital resource management and sustainable development.