基于超效率DEA的北京市社区基本医疗服务效率评价研究
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摘要
目的:评价北京市社区卫生服务中心基本医疗服务效率。方法:采用数据包络分析(DEA)法,建立超效率DEA(SE-DEA)模型对北京市321家社区卫生服务中心进行效率评价。结果:基本医疗服务综合有效的机构10家,技术有效的25家,没有机构能够达到规模有效,事业单位、企业办的社区卫生服务中心的有效比例高于卫生行政部门办。非DEA有效的机构相对于DEA有效的机构平均多投入了45.60个在岗职工,418.72万元的设备以及2 044.58万元的医疗支出。结论:北京市社区卫生服务中心的基本医疗服务整体效率不高;技术水平是影响北京市社区卫生服务机构效率的关键因素;社区卫生资源投入不足与浪费现象并存,应优化资源配置。
Objective: To evaluate the basic medical service efficiency of community health service centers in Beijing. Methods:Super-efficiency data envelopment analysis(SE-DEA) model was used to analyze the basic medical service efficiency of Beijing's community health service institutions. Results: 10 of 321 community health service institutions are technical effective,25 of them are pure technical effective, however none of them was scale effective. The effective proportions of community health service institutions operated by institutions and enterprises are higher than that of health administrative departments. Non-DEA effective community health service centers have invested an average of 45.60 employees, 4 187 200 yuan of equipment and 2,045,800 yuan in medical expenses more than DEA effective institutions. Conclusion: The basic medical services of the Beijing community health service centers are not efficient overall. The technical level is the key factor affecting the efficiency of community health service institutions in Beijing. The problems of insufficient investment and resources waste coexisted,so the resources allocation of health service institutions should be optimized.
Objective: To evaluate the basic medical service efficiency of community health service centers in Beijing. Methods:Super-efficiency data envelopment analysis(SE-DEA) model was used to analyze the basic medical service efficiency of Beijing's community health service institutions. Results: 10 of 321 community health service institutions are technical effective,25 of them are pure technical effective, however none of them was scale effective. The effective proportions of community health service institutions operated by institutions and enterprises are higher than that of health administrative departments. Non-DEA effective community health service centers have invested an average of 45.60 employees, 4 187 200 yuan of equipment and 2,045,800 yuan in medical expenses more than DEA effective institutions. Conclusion: The basic medical services of the Beijing community health service centers are not efficient overall. The technical level is the key factor affecting the efficiency of community health service institutions in Beijing. The problems of insufficient investment and resources waste coexisted,so the resources allocation of health service institutions should be optimized.
引文
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[3]刘丽杭,汪涛,黄顺玲.基于超效率DEA模型的湖南省社区卫生服务系统运行效率研究[J].中国卫生经济,2013,32(7):74-77.
[4]李萌,刘丽杭,王小万.基于DEA模型的湖南省29家社区卫生服务中心效率研究[J].中国卫生经济,2013,32(4):47-50
[5]王高玲,田大将.基于超效率数据包络分析的我国社区卫生服务机构服务效率的评价研究[J].中国全科医学,201417(28):3296-3300.
[6]成刚.数据包络分析方法与MaxDEA软件[M].北京:知识产权出版社有限责任公司,2014.
[7]刘亚军,刘钢,李楠,等.基于返聘退休医学专家管理的社区卫生人力资源SWOT分析[J].中国全科医学,2012,15(8):2512-2514.