| 引用本文：李萌, 张旭东, 郭淑岩, 杨婷婷, 杨威, 黎浩, 张建成, 董四平.应用Bootstrap-DEA方法的公立三级医院技术效率测量与比较分析[J].中国卫生政策研究,2020,13(3):64-68 |
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| 应用Bootstrap-DEA方法的公立三级医院技术效率测量与比较分析 |
| 投稿时间：2019-10-20 修订日期：2020-01-15 PDF全文浏览 HTML全文浏览 |
| 李萌1, 张旭东1, 郭淑岩1, 杨婷婷1, 杨威1, 黎浩2, 张建成3, 董四平1 |
1. 国家卫生健康委医院管理研究所 北京 100044;
2. 武汉大学全球健康研究中心 湖北武汉 430072;
3. 临沂市人民医院 山东临沂 276000 |
| 摘要:目的：测量我国公立三级综合医院技术效率并进行比较分析。方法：采取系统分层典型抽样方法收集2018年5省203家医院投入、产出指标截面数据，应用Bootstrap-DEA方法计算样本医院的技术效率、规模效率和纯技术效率，并按床位数分5组进行效率值比较分析。结果： 样本医院技术效率值为0.648 7，规模效率值为0.976 2，纯技术效率值为0.664 5；样本医院三个效率值随着床位增加呈现先升后降的趋势，床位≤1 000的样本医院组平均效率值最低，3 000<床位≤4 000的样本医院组平均效率值最高。结论：我国部分省份公立三级综合医院技术效率整体水平较低，纯技术效率偏低是技术效率较低的主要原因；在医疗卫生服务领域存在规模经济现象，医院不宜盲目扩张。 |
| 关键词:技术效率 规模效率 纯技术效率 Bootstrap-DEA 公立医院 |
| 基金项目:国家自然科学基金面上项目（71573061）；湖北省卫生计生委青年人才项目（WJ2017Q003） |
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| Measurement and comparative analysis of different technical efficiencies of public tertiary general hospital using Bootstrap-DEA approach |
| LI Meng1, ZHANG Xu-dong1, GUO Shu-yan1, YANG Ting-ting1, YANG Wei1, LI Hao2, ZHANG Jian-cheng3, DONG Si-ping1 |
1. National Institute of Hospital Administration,National Health Commission, Beijing 100044, China;
2. Global Health Institute, Wuhan University, Wuhan Hubei 430072, China;
3. The people's hospital of Linyi city, Linyi Shandong 276000, China |
| Abstract:Objective: To measure and compare the Technical Efficiencies of public tertiary general hospitals in China. Methods: Cross-sectional data sets of input and output indicators were extracted from 203 tertiary general hospitals in five provinces of China in 2018 and Bootstrap-DEA was employed to calculate the Technical Efficiency (TE), Scale Efficiency (SE) and Pure Technical Efficiency (PTE). Results: In 2018 the TE, SE and PTE average values were 0.6487, 0.9762 and 0.6645, respectively. The sampled hospitals' TE firstly showed an increasing trend and then decreased with the increase in hospital beds. The average TE value of the sample group with a number of beds less than 1000 was the lowest, while the sample group with beds more than 3000 and less than 4000 had the highest value. Conclusions: The overall technical efficiencies of public tertiary general hospitals in some provinces in China is still low and needs improvement, and the inefficiency in PTE is the main reason for the inefficiency of TE. There is a phenomenon of economies of scale in the field of medical and healthcare services, so hospitals should vigilantly consider the scale efficiency in order to avoid blind expansion of their systems. |
| Key words:Technical Efficiency (TE) Scale Efficiency (SE) Pure Technical Efficiency (PTE) Bootstrap-DEA Public hospital |
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