| 引用本文：刘双梅, 王小万, 秦江梅.我国10家三级儿童医院的技术与规模效率及变动研究[J].中国卫生政策研究,2015,8(1):27-31 |
|
| 我国10家三级儿童医院的技术与规模效率及变动研究 |
| 投稿时间：2014-11-20 修订日期：2015-01-04 PDF全文浏览 HTML全文浏览 |
| 刘双梅1,2, 王小万2, 秦江梅3 |
1. 北京协和医学院 北京 100730;
2. 中国医学科学院医学信息研究所/卫生政策与管理研究中心 北京 100020;
3. 国家卫生计生委卫生发展研究中心 北京 100191 |
| 摘要:目的:评价我国三级儿童医院的技术效率和规模效率,了解效率变动情况,为三级儿童医院改善其效率和提升生产率提供参考。方法:系统收集10家三级儿童医院2011—2012年人员、设备、资产、医疗服务等投入—产出指标,运用DEA的C2R模型和BC2模型计算样本医院的年度技术效率和规模效率,再利用Malmquist指数分析样本医院跨期效率变动情况。结果:2011年3家医院为DEA有效,无效的7家医院中4家处于规模报酬递增阶段,3家处于规模报酬递减阶段; 2012年6家医院为DEA有效,无效的4家医院处于规模报酬递减阶段。2011—2012年,6家医院的生产率有所改善,4家医院的生产率出现了下降。结论:样本医院整体运行效率较高,但有个别医院技术效率较低; 2012年多数医院运行效率和生产率有所提高,其中生产率的提高主要源于效率的改善; 规模是影响效率和生产率的重要因素,不可盲目扩大规模。 |
| 关键词:三级儿童医院 DEA Malmquist指数 技术效率 规模效率 |
| 基金项目:国家自然科学基金(71173237) |
|
| Research on technical efficiency, scale efficiency and the efficiency changes of 10 tertiary children's hospitals in China |
| LIU Shuang-mei1,2, WANG Xiao-wan2, QIN Jiang-mei3 |
1. Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China;
2. Center for Health Policy and Management, Instituteof Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
3. China National Health Development Research Center, Beijing 100191, China |
| Abstract:Objective: To evaluate technical efficiency, scale efficiency and the efficiency changes of tertiary children's hospitals to provide reference for improving efficiency and productivity. Methods: Input and output data of 10 tertiary children's hospitals in 2011 and 2012 were collected; C2R and BC 2models were adopted to evaluate the technical efficiency and scale efficiency; and the Malmquist index was adopted to analyze efficiency and productivity changes through the period. Results: In 2011, there were three efficient hospitals, four at IRS stage, and three at DRS stage; in 2012, there were six efficient hospitals, and four at DRS stage. The productivity of six hospitals increased, and four decreased. Conclusions: The overall technical efficiency and scale efficiency of sample hospitals were high relatively, but the technical efficiency of individual hospitals was low. The efficiency and productivity of most sample hospitals were improved in 2012, and the improvement of productivity mainly came from efficiency improvements. Scale is an important factor affecting the efficiency and productivity, hospitals should expand their scale appropriately. |
| Key words:Tertiary children's hospitals DEA Malmquist index Technical efficiency Scale efficiency |
| 摘要点击次数: 2234 全文下载次数: 4 |
|
|
|
|
|
