| 引用本文：王小万,崔月颖,冯芮华,等.县级医院效率特征及变动研究[J].中国卫生政策研究,2015,8(6):13-20 |
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| 县级医院效率特征及变动研究 |
| 投稿时间：2015-05-10 修订日期：2015-06-10 PDF全文浏览 HTML全文浏览 |
| 王小万1 |
1. 中国医学科学院卫生政策与管理研究中心 北京 100020;
2. 卫生部医院管理研究所 北京 100191 |
| 摘要:目的:基于数据包络分析模型研究2008—2012年期间样本104家县级医院的效率特征及变动情况;方法:在传统C2R-DEA和BC2-DEA模型基础上,利用三阶段DEA模型剔除外部环境变量对其效率的影响;结果:样本医院的技术效率值区间为0.723~0.681,纯技术效率值区间为0.785~0.771,规模效率值区间为0.908~0.897,呈现低效率及逐年改善的发展趋势。讨论:新医改政策及措施在改善县级医院效率方面具有促进效应;医疗服务与管理能力的发展滞后于服务规模的发展,其服务与管理能力的提升逐步成为改善县级医院效率的主要途径。 |
| 关键词:数据包络分析模型 县级医院 效率特征 评价 |
| 基金项目:国家自然科学基金资助项目(71173237) |
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| Efficiency characteristics and changes of county hospitals |
| WANG Xiao-wan1 |
1. Center for Health Policy and Management, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. National Institute of Hospital Administration, Ministry of Health, Beijing 100191, China |
| Abstract:Objectives: To study efficiency characteristics and changes of county hospitals based on data envelopment analysis model from 2008 to 2012. Methods: A three-stage DEA model which can exclude the external environment variable on its efficiency is also added along with the C2R and BC2-DEA traditional model. Results: From 2008 to 2012, the technical efficiency value was ranging between 0.723 and 0.681 in county hospitals, the pure technical efficiency was 0.785~0.771 and the scale efficiency value scaled between 0.908 and 0.897. These values showed a low efficiency, but had annually improved. This reflects that the new health care reform policies have played an important role in improving county hospitals efficiency. Development of medical service ability is behind the development of hospital scale. How to improve the service and management capabilities has gradually become a major direction to improve the county hospital efficiency. |
| Key words:DEA model County hospitals Efficiency characteristics Evaluation |
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