基于数据包络分析的江苏省三级民营医院运营效率研究
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摘要
目的:研究江苏省三级民营医院运营效率的动态静态变化情况。方法:采用数据包络分析法中的BCC模型和Malmquist指数模型对2014—2016年江苏省三级民营医院的相对有效率进行测算和比较。结果:江苏省三级民营医院三年综合效率平均值为0.944,全要素生产率指数年均增长2.1%,技术变动年均增长4.1%,效率变动平均下降1.9%,全要素生产率增长主要得益于技术进步,而发展缓慢主要是受到了规模效率变动指数下降的限制。结论:江苏省三级民营医院目前总体上处于平稳发展的状态。医院发展要兼顾技术和技术效率,优化资源配置、完善管理模式与运行机制、重视技术创新、不断培养高水平人才,才能持续提升三级民营医院的运营效率。
Objective:To evaluate the static and dynamic changes of the operational efficiency of tertiaryprivate hospital in Jiangsu. Methods: Using BCC model and Malmquist index model,the efficiency of privatehospitals in Jiangsu from 2014 to 2016 was calculated and compared. Results: The average comprehensiveefficiency was 0.944,the average increase rate of total factor productivity and technical progress was 2.1% and4.1%,respectively. The change in efficiency was decreased by an average of 1.9%. The total factor productivitygrowth was mainly due to technological progress,while it was mainly limited by the decrease of scale efficiency.Conclusion: The total productivity of the hospitals showed an increasing trend. The private hospitals shouldconsider both technical and technical efficiency,optimize the allocation of resources,improve the managementmode,pay attention to technological innovation,and cultivate talents.
Objective:To evaluate the static and dynamic changes of the operational efficiency of tertiaryprivate hospital in Jiangsu. Methods: Using BCC model and Malmquist index model,the efficiency of privatehospitals in Jiangsu from 2014 to 2016 was calculated and compared. Results: The average comprehensiveefficiency was 0.944,the average increase rate of total factor productivity and technical progress was 2.1% and4.1%,respectively. The change in efficiency was decreased by an average of 1.9%. The total factor productivitygrowth was mainly due to technological progress,while it was mainly limited by the decrease of scale efficiency.Conclusion: The total productivity of the hospitals showed an increasing trend. The private hospitals shouldconsider both technical and technical efficiency,optimize the allocation of resources,improve the managementmode,pay attention to technological innovation,and cultivate talents.
引文
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[8]苏澎,田文华.我国民营医院发展内外影响因素分析[J].卫生经济研究,2014(7):14-16
[9]谢丹萍,曹杰,岳经纶,等.广东省县级公立医院改革试点医院效率分析[J].中国医院管理,2017,37(5):8-10
[10]陈聚祥,黎映静.基于数据包络分析的福建三级甲等医院运营效率评价[J].中国卫生统计,2016,33(5):749-751
[11]郭文瀚,胡万进,黄晓光,等.基于数据包络法的江苏省十三市卫生资源配置效率研究[J].南京医科大学学报(社会科学版),2016,16(1):15-18
[2]董四平,左玉玲,陶红兵,等.中国医院效率DEA研究分类与投入产出指标分析[J].中国卫生政策研究,2014,7(10):40-45
[3]郭晓日.我国公立医院效率及其影响因素研究[D].济南:山东大学,2012
[4]石义全,钱振华,成刚.指标选择对医院效率评价的影响——以2010年省级数据DEA模型为例[J].中国卫生政策研究,2012,5(3):67-72
[5]王吉善,张振伟,董四平.基于Malmquist指数的北京三级医院全要素生产率分析[J].中国卫生质量管理,2011,18(4):56-58
[6]Li H,Dong S,Liu T.Relative efficiency and productivity:a preliminary exploration of public hospitals in Beijing,China[J].BMC Health Serv Res,2014,14(1):158
[7]左玉玲,陶红兵,程兆辉,等.基于Malmquist指数的河南省民营医院效率变化分析[J].中国医院管理,2016,36(6):35-37
[8]苏澎,田文华.我国民营医院发展内外影响因素分析[J].卫生经济研究,2014(7):14-16
[9]谢丹萍,曹杰,岳经纶,等.广东省县级公立医院改革试点医院效率分析[J].中国医院管理,2017,37(5):8-10
[10]陈聚祥,黎映静.基于数据包络分析的福建三级甲等医院运营效率评价[J].中国卫生统计,2016,33(5):749-751
[11]郭文瀚,胡万进,黄晓光,等.基于数据包络法的江苏省十三市卫生资源配置效率研究[J].南京医科大学学报(社会科学版),2016,16(1):15-18