分析评价四川省340家公立医院的技术效率
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摘要
目的探讨四川省县级及县级以上公立医院的技术效率,为进一步合理配置医院资源提供科学依据。方法采用文献复习、问卷调查等方法了解公立医院2003~2007年的投入产出情况,应用数据包络分析方法(DEA)评价各医院技术效率。结果全省340家公立医院平均总技术效率值为0.758,纯技术效率值为0.800,73.03%的三级医院规模收益递减;县级和二级医院的技术效率均低于同类其他医院;中医院的平均住院日较长。结论四川省县级及县级以上公立医院的整体投入产出水平较高;建议规模收益递减的三级医院适当控制医院规模;缩短县级和二级医院的平均住院日;建议中医院加强民族医药技术进步。
Objective To probe into the technical efficiency of 340 public hospitals ranking county-level and above in Sichuan province from the year 2003 to 2007,and then provide information for allocating the hospital resources and improving hospital efficiency.Methods We got the above information by reviewing literatures and collecting questionnaires.We calculated technical efficiency of these hospitals by the method named Data Envelopment Analysis(DEA).Results The overall technical efficiency of 340 public hospitals was 0.758,and pure technical efficiency was 0.800;the percentage of decreasing returns to scale in Grade 3 public hospitals was 73.03%;in terms of overall and pure technical efficiency,the county-level and Grade 2 hospitals were inferior to other hospitals;the average length of stay in hospitals of TCM was much longer.Conclusion The input and output efficiency of public hospitals in Sichuan province performed well;It suggest that the Grade 3 hospitals decreasing returns to scale control their sizes,shorten the average length of stay in hospitals of county-level or Grade 2,promote the progress of minority medicine in hospitals of TCM.
Objective To probe into the technical efficiency of 340 public hospitals ranking county-level and above in Sichuan province from the year 2003 to 2007,and then provide information for allocating the hospital resources and improving hospital efficiency.Methods We got the above information by reviewing literatures and collecting questionnaires.We calculated technical efficiency of these hospitals by the method named Data Envelopment Analysis(DEA).Results The overall technical efficiency of 340 public hospitals was 0.758,and pure technical efficiency was 0.800;the percentage of decreasing returns to scale in Grade 3 public hospitals was 73.03%;in terms of overall and pure technical efficiency,the county-level and Grade 2 hospitals were inferior to other hospitals;the average length of stay in hospitals of TCM was much longer.Conclusion The input and output efficiency of public hospitals in Sichuan province performed well;It suggest that the Grade 3 hospitals decreasing returns to scale control their sizes,shorten the average length of stay in hospitals of county-level or Grade 2,promote the progress of minority medicine in hospitals of TCM.
引文
[1]王涵,马燕,李斌,等.数据包络分析在哈尔滨市三级医院效率评价中的应用[J].中国医院统计,2006,12(13):289-292.
[2]汪唯.广东省公立医院效率分析与比较[J].中国医院管理,2008,4(2):16-19.
[3]张文新,张博恒,张渊.缩短平均住院日,有效提高医院的效率和效益[J].中国卫生经济,2007,7(26):36-37.
[4]欧阳琳,李鹏.某军队综合性医院平均住院日的影响因素分析及对策[J].重庆医学,2009,38(14):1827-1828.
[5]高炎,王克春.试论公立医院医疗效率及其影响因素[J].中国医院管理,2008,4(28):1-3.
[2]汪唯.广东省公立医院效率分析与比较[J].中国医院管理,2008,4(2):16-19.
[3]张文新,张博恒,张渊.缩短平均住院日,有效提高医院的效率和效益[J].中国卫生经济,2007,7(26):36-37.
[4]欧阳琳,李鹏.某军队综合性医院平均住院日的影响因素分析及对策[J].重庆医学,2009,38(14):1827-1828.
[5]高炎,王克春.试论公立医院医疗效率及其影响因素[J].中国医院管理,2008,4(28):1-3.
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