基于数据包络法的新疆某公立医院2012—2017年运行效率分析
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摘要
目的了解新疆某公立医院的资源配置及运行效率,为该医院今后发展提供参考。方法收集该医院2012—2017年投入产出的数据,指标分类以社会产出和经济产出角度为切入点,应用BBC模型的数据包络法和Spearman相关性进行分析。结果该公立医院社会运行效率为:1、1、1、0.969、0.898、1,经济运行效率为:0.901、1、1、0.828、0.826、0.985。Spearman相关性分析结果显示:不同年份与门诊人次数、出院人次数和医疗总收入之间呈正相关,与平均住院日呈负相关。结论某公立医院的社会运行效率大致平衡,目前已达到投入产出均衡,对于2015-2016年存在递减情况,建议提升纯技术效率;经济运行效率整体呈上升趋势,目前未达到投入产出均衡,需进一步观察规模效率使其提高。
Objective To understand the resource allocation and operation efficiency of a public hospital in Xinjiang,and to provide references for its future development.Methods The input/output data of the public hospital in Xinjiang from 2012 to 2017were analyzed by data envelopment analysis(DEA)using BBC model,and the correlation between time and output data was analyzed by Spearman correlation.Results The results of social operation efficiency of the hospital were as follows:1,1,1,0.969,0.898and1.The results of the economic operation efficiency of the hospital were as follows:0.901,1,1,0.828,0.826 and 0.985.In the Spearman correlation analysis,time was positively correlated with the number of outpatients,the number of discharged patients and total medical income,while time was negatively correlated with the average hospital stay.Conclusion The social operation efficiency of the public hospital is generally balanced,and has reached the balance of input and output.For the situation of decreasing from2015 to 2016,it is suggested to improve the pure technical efficiency.The overall economic operation efficiency is on the rise,but it has not reached the balance of input and output at present.It is necessary to further observe the scale efficiency to improve it.
Objective To understand the resource allocation and operation efficiency of a public hospital in Xinjiang,and to provide references for its future development.Methods The input/output data of the public hospital in Xinjiang from 2012 to 2017were analyzed by data envelopment analysis(DEA)using BBC model,and the correlation between time and output data was analyzed by Spearman correlation.Results The results of social operation efficiency of the hospital were as follows:1,1,1,0.969,0.898and1.The results of the economic operation efficiency of the hospital were as follows:0.901,1,1,0.828,0.826 and 0.985.In the Spearman correlation analysis,time was positively correlated with the number of outpatients,the number of discharged patients and total medical income,while time was negatively correlated with the average hospital stay.Conclusion The social operation efficiency of the public hospital is generally balanced,and has reached the balance of input and output.For the situation of decreasing from2015 to 2016,it is suggested to improve the pure technical efficiency.The overall economic operation efficiency is on the rise,but it has not reached the balance of input and output at present.It is necessary to further observe the scale efficiency to improve it.
引文
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[9]黄巧红.公立医院DEA-Tobit模型运行效率评价[J].解放军医院管理杂志,2018,25(2):101-106.
[2] JAT T R,SEBASTIAN M S.Technical efficiency of public district hospitals in Madhya Pradesh,India:a data envelopment analysis[J].Glob Health Action,2013(6):21742.
[3]张璐莹,应晓华,王笑,等.上海市市级医院运行效率的数据包络分析[J].中国卫生资源,2014,17(6):415-418.
[4]玄春艳,亓爱杰.基于数据包络法的山东省三级综合医院效率分析[J].医学与社会,2017,30(10):51-53,65.
[5]方娴,关素珍,谢慧玲,等.基于数据包络法分析新疆某县级人民医院运行效率[J].新疆医科大学学报,2015,38(7):917-919.
[6]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.
[7]毛燕娜,王小万,冯芮华,等.基于数据包络分析的医院效率评价指标筛选研究[J].卫生经济研究,2015(8):15-19.
[8]曹健,刘金宝,王丽.基于DEA模型的新疆县级公立医院运行效率评价研究[J].新疆医科大学学报,2016,39(6):772-774.
[9]黄巧红.公立医院DEA-Tobit模型运行效率评价[J].解放军医院管理杂志,2018,25(2):101-106.