Research on the Evaluation of Economic Operation Quality and Efficiency of Secondary General Hospitals in Shanghai

Wang Nuobei

Abstract：Objective To evaluate comprehensively the economic performance of secondary general hospitals in Shanghai by taking the scientific quantitative evaluation as the starting point,providing references for the development of a tiered healthcare system and refined hospital management.Methods Based on economic operational data from 53 secondary general hospitals in Shanghai from 2019 to 2023,comprehensive evaluation and positive analysis were carried out,using the TOPSIS model,Dagum Gini coefficient and its decomposition model,and Kernel density estimation model.Results From the dimension perspective,the secondary general hospitals in Shanghai demonstrated relatively strong performance in budget management while their development capacity and cost management underperformed.From theregion perspective,suburban hospitals recorded gradual improvements in quality and efficiency of their economic performance,leading to the gradually narrowing gap between urban and suburban areas.Hospitals in urban areas are now facing the challenge of being overtaken by suburban ones in the quality and efficiency of economic performance and a high degree of internal imbalanced development.Conclusion The functional positioning of secondary general hospitals is inadequately implemented,greatly affected by the siphoning effect caused by tertiary Grade-A hospitals.To solve this problem,secondary hospitals should proactively engage in inter-regional cooperation,adopt flexible operational models,and make solid steps to strengthen cost control to increase income and decrease expenses,thus achieving a sound and sustained operation of the hospitals.