Objective  To establish a cooperative decision-making model of county-level public hospitals, so as to freely select the best partner in different decision-making units and promote the optimal allocation of medical resources. Methods  The input and output data of 10 adjacent county-level public hospitals in Henan province from 2017 to 2019 was selected. Based on the traditional data envelopment analysis (DEA) model, a generalized fuzzy DEA cooperative decision-making model with better applicability to fuzzy indicators and optional decision-making units was constructed. By inputting index information such as total number of employees, number of beds, annual outpatient and emergency volume, number of discharged patients, total income and hospital grade evaluation, the cooperation efficiency intervals of different hospitals were calculated to scientifically select the best partner in different decision-making units.Results  After substituting the data of 10 county-level public hospitals in H₁-H₁₀ into the model, taking H₂ hospital as an example to make cooperative decision, among the four hospitals in H₁, H₂, H₇ and H₁₀ of the same scale, under optimistic circumstances, the best partner of H₂ hospital was H₇ hospital, and the cooperation efficiency value was 1.97; in a pessimistic situation, the best partner of H₂ hospital was H₁₀ hospital, and the cooperation efficiency value was 0.98. The model had good applicability in the cooperative decision-making of county-level public hospitals. Conclusion  The generalized fuzzy DEA model can better evaluate the cooperative decision-making analysis between county-level public hospitals.

Citation： RUAN Yilei, CHEN Caisen, LI Gang. Cooperative decision-making of county-level public hospitals based on generalized fuzzy data envelopment analysis. West China Medical Journal, 2022, 37(1): 87-91. doi: 10.7507/1002-0179.202102105 Copy