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| 投稿时间： 2015-06-11 最后修改时间： 2015-10-15 摘要点击次数: 2422 全文下载次数: |
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| 引用本文：吴舒婷, 吴小南, 李跃平,等.福建省县级综合性公立医院运行效率变化分析[J].中国卫生政策研究,2015,8(10):41-45 |
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| 吴舒婷1, 吴小南1, 李跃平1, 邱宁宁1, 徐旭亮2 |
1. 福建医科大学公共卫生学院 福建福州 350004;
2. 福建省卫生和计划生育委员会 福建福州 350000 |
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| | 摘要:目的:研究福建省40家县级综合性公立医院的综合效率、技术效率和规模效率变化情况,以及全要素生产率随着时间变化的情况,为提高县级综合性公立医院运营效率提供决策依据和参考。方法:收集2009—2014年福建省40家县级综合性公立医院运营相关数据,运用数据包络分析法(DEA)的CCR、BCC和Malmquist模型进行分析。结果:40家县级综合性公立医院中绝大多数处于规模递减状态,2009—2014年的全要素生产率为1.019,21家(52.5%)医院生产率有所提高,其中3家医院生产率提高是由于技术进步,3家是由于效率提高,15家是由于技术进步和效率提高共同作用。结论:福建省县级综合性公立医院效率总体不足,且不同地区医院运行效率有差异,山区医院效率有所提高,沿海地区医院效率出现下降。因此,政府在加大对县级综合性公立医院投入时,应采取差别化政策,注意合理控制医院规模,同时应加强内涵建设,重视医疗技术的提升。 | |
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关键词:DEA Malmquist模型 县级公立医院 运行效率
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| Operational efficiency of county public general hospitals in Fujian province from 2009 to 2014 |
| WU Shu-ting1, WU Xiao-nan1, LI Yue-ping1, QIU Ning-ning1, XU Xu-liang2 |
1. School of Public Health, Fujian Medical University, Fuzhou Fujian 350004, China;
2. Fujian Provincial Health and Family Planning Commission, Fuzhou Fujian 350000, China |
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| | Abstract:Objective: In order to provide policy-makers with basis and reference for improving the operational efficiency of county general public hospitals, this paper studies the changes in overall efficiency, technical efficiency and scale efficiency of 40 county general public hospitals in Fujian province from 2009 to 2014, as well as how the total factor productivity changes over the time. Methods: After collecting the relevant data of hospital operations from 2009 to 2014, this paper uses CCR, BBC, Malmquist model and other data envelopment analysis (DEA) methods to analyze the data. Results: The vast majority of those 40 county general public hospitals are in decreasing state. The total factor productivity of 40 hospitals from 2009 to 2014 is 1.019. There are 21 hospitals (52.5%) that slightly improved their productivity, of which 3 hospitals increased their productivity mainly due to technological progress, 3 hospitals due to efficiency increase, and the rest 15 hospitals due to the effect of both technological progress and efficiency increase. Conclusions: The operational efficiency of county general public hospitals in Fujian province is generally insufficient, and there are significant differences between operating efficiency of different regions. The efficiency of hospitals in mountainous areas had increased, but the efficiency of hospitals in coastal areas had decreased. Therefore, in order to increase investment in county general public hospitals, the government should take differential policy and pay attention to the reasonable control of hospital size, as well as to strengthen the connotation building and attach importance to improving medical service technologies. | |
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