| 引用本文：李玲,王健.我国公立医院的技术效率分析：数据包络分析的应用[J].中国卫生政策研究,2008,1(3):51-56 |
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| 我国公立医院的技术效率分析：数据包络分析的应用 |
| 投稿时间：2008-09-17 修订日期：2008-10-08 PDF全文浏览 HTML全文浏览 |
| 李玲1, 王健2 |
| 1.北京大学中国经济研究中心;2.山东大学卫生管理与政策研究中心卫生部卫生经济与政策研究重点实验室 |
| 摘要:本研究通过应用DEA的方法，对2006年我国公立医院的技术效率进行经验分析，利用分层随机抽样法在三类医院中分别随机抽取100家医院。无论是医院的筹资体系、支付体系和管理体系，我国公立医院与西方国家公立医院都有明显不同。本文旨在补充我国DEA研究的文献资料，研究选择基于医院产出水平的DEA方法以验证假设。研究结果显示，与三级医院和一级医院相比，二级医院的平均技术效率值最低。另外，产出不足和/或投入过剩的分析结果显示，在不影响技术效率的情况下，医生/护士比率和高技术医疗设备可能需要进一步调整。研究结果可以作为评价我国公立医院技术效率的参考依据之一。 |
| 关键词:数据包络分析 效率测量 公立医院 |
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| The technical efficiency analysis on China's public hospitals: application of data envelopment analysis |
| LI Ling1, WANG Jian2 |
| 1.China Center for Economic Research, Peking University,;2.Center for Health Management and Policy of Shandong University, Key Lab for Health Economics and Policy Research of Ministry of Health |
| Abstract:The study presents an empirical analysis of relative efficiency of the Chinese public acute hospitals by applying data envelopment analysis (DEA) and a regression model in a multi stage approach. The sample is randomly stratified into three levels of hospitals. This paper contributes to the DEA literature by adding empirical study from Chinese public hospitals. The study has chosen an output oriented DEA approach to achieve its objectives. The estimation procedures include decomposition of the technical efficiency obtained as scale efficiency and ‘pure’ technical efficiency under the assumption of variable returns to scale. The findings suggest that on average the general level II hospitals are least inefficient. In addition, results of input slacks and/or output slacks show that doctor/nurse ratio and high tech medical equipment could be further adjusted without affecting technical efficiency. Our result shows these will provide policy applications to improve Chinese public acute hospitals on the efficiency ground,Pulic hospital |
| Key words:Data envelopment analysis, Efficiency measure, Public hospital |
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