基于DEA模型的浙江省县域医共体运行效率研究

魏景明; 高奇隆; 黄敏卓; 董恒进

引用本文：魏景明, 高奇隆, 黄敏卓, 董恒进.基于DEA模型的浙江省县域医共体运行效率研究[J].中国卫生政策研究,2021,14(2):23-27

基于DEA模型的浙江省县域医共体运行效率研究

投稿时间：2020-05-09 修订日期：2020-12-22 PDF全文浏览 HTML全文浏览

魏景明¹, 高奇隆², 黄敏卓³, 董恒进²

1. 北京大学第六医院北京 100191;
2. 浙江大学医学院卫生政策学研究中心浙江杭州 310058;
3. 浙江大学医学院附属邵逸夫医院浙江杭州 310020

摘要:目的：基于医院数据，对浙江省11个县域医共体的效率进行评估，分析改革前后效率变化，为医共体优化资源配置提供政策建议。方法：收集11个县域医共体相关数据，采用DEA数据分析方法，计算县域医共体运行效率。结果：改革后，各试点县域医共体运行效率均有所增加，不同地区存在差异，县级医院综合运行效率偏低，基层医疗机构技术效率较高。结论：浙江省县域医共体大部分试点运行效率相对低下，优化卫生资源配置，加强基层医疗机构基础建设，改善县级医院管理水平，提高卫生服务产出；部分县域医共体应规避资源整合、规模扩张的风险。

关键词:县域医共体 DEA 运行效率卫生资源配置

Study on the operation efficiency of county medical community based on DEA Model

WEI Jing-ming¹, GAO Qi-long², HUANG Min-zhuo³, DONG Heng-jin²

1. Peking University Sixth Hospital, Beijing 100191, China;
2. Center for Health Policy Studies, Zhejiang University School of Medicine, Hangzhou Zhejiang 310058, China;
3. Sir Run Run Shaw Hospital affiliated with the Zhejiang University School of Medicine, Hangzhou Zhejiang 310020, China

Abstract:Objective: To evaluate the efficiency of medical communities in 11 counties of Zhejiang Province based on hospital data, analyze the efficiency changes before and after the reform, and provide policy recommendations for optimizing the resources allocation in medical communities. Methods: Data of 11 county medical communities were collected, and the operation efficiency was calculated using DEA data analysis method. Results: After the reform, the operation efficiency of the county medical community in each pilot county has increased, and differences in different regions were noticed. The comprehensive operation efficiency of county hospitals is low, while the technical efficiency of primary healthcare institutions is high. Conclusion: The efficiency of the pilot projects of county-level medical communities in Zhejiang Province is relatively low. Therefore, it is suggested that the allocation of health resources should be optimized, the infrastructure of primary healthcare institutions should be strengthened, the management level of county-level hospitals should be improved and the health services output should be increased. Nevertheless, some county-level medical communities should avoid the risk of resource integration and scale expansion.

Key words:County medical community DEA Operation efficiency Health resources allocation

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