| 引用本文：陈鑫岚, 张云钒, 陈鑫琳, 陈迎春.基于DEA模型的湖北省公立医院和民营医院运营效率分析[J].中国卫生政策研究,2021,14(10):75-80 |
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| 基于DEA模型的湖北省公立医院和民营医院运营效率分析 |
| 投稿时间：2021-09-22 修订日期：2021-10-19 PDF全文浏览 HTML全文浏览 |
| 陈鑫岚1, 张云钒1, 陈鑫琳1, 陈迎春1,2 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 湖北省人文社科重点研究基地农村健康服务研究中心 湖北武汉 430030 |
| 摘要:目的：比较和评价2015—2019年湖北省公立医院和民营医院运营效率，并探析不同级别及类型医院效率变动的异质性。方法：利用超效率SBM-DEA模型对两种性质的医院进行静态效率分析，并用DEA-Malmquist模型进行动态分析。结果：从静态效率来看，2015—2019年，民营医院效率排名情况较好，公立二、三级医院和中医医院效率情况较民营医院好，民营一级医院和专科医院效率情况较公立医院好。2015—2019年公立医院和民营医院全要素生产率变动均值分别为0.992、0.993。在不同级别和类型的医院中，公立未定级医院、民营中医医院全要素生产率变动大于1。结论：湖北省公立医院和民营医院差距较大，公立二、三级和中医医院以及民营中医、专科和一级医院获得较好发展，民营医院应向提供多样化多层次医疗服务方面转变。两类机构应在不同等级和类别的医疗机构中充分发挥自身优势。各级各类医院应以技术进步为推动器，逐步提高运行效率。 |
| 关键词:公立医院 民营医院 超效率SBM DEA-Malmquist |
| 基金项目:国家自然科学基金项目（71974066） |
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| Analysis of operational efficiency of public and private hospitals in Hubei Province based on DEA model |
| CHEN Xin-lan1, ZHANG Yun-fan1, CHEN Xin-lin1, CHEN Ying-chun1,2 |
1. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology，Wuhan Hubei 430030, China;
2. Research Center for Rural Health Services, Hubei Province Key Research Institute of Humanities and Social Sciences,Wuhan Hubei 430030, China |
| Abstract:Objective: This study aims to compare and evaluate the operational efficiency of public and private hospitals in Hubei Province in the period of 2015 to 2019, and explore the heterogeneity of operational efficiency changes due to differences in hospital tier and type. Methods: Super-SBM model was used to perform static efficiency analysis on the two types of hospitals, and DEA-Malmquist model was used to perform dynamic efficiency analysis. Results: According to the results of static efficiency analysis, in the period of 2015 to 2019, the overall ranking of private hospitals was better than public hospitals in operational efficiency. The ranking of public Tier II, Tier III and traditional Chinese medicine hospitals were better than that of private hospitals, whereas the ranking of private Tier I hospitals and specialized hospitals were better than that of public hospitals. From 2015 to 2019, the average change of total factor productivity of public hospitals and private hospitals was 0.992 and 0.993 respectively. In different tiers and types of hospitals, the changes of total factor productivity of public non-graded hospitals and private traditional Chinese medicine hospitals were both greater than 1. Conclusion: there was a relatively big gap between public hospitals and private hospitals in Hubei Province. Public Tier II, Tier III and traditional Chinese medicine hospitals and private traditional Chinese medicine, specialized and Tier I hospitals had achieved better development. Private hospitals should provide more diversified and multi-level medical services to patients. Among all levels and types of medical institutions, the two types of medical institutions under study should fully take advantage of their respectively strengths. Hospitals of all levels and types should be facilitated by technological advancements to step-by-step improve their operational efficiency. |
| Key words:Public hospital Private hospital Super-SBM DEA-Malmquist |
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