数据包络分析在乡镇卫生院效率评价中的应用  

Use of DEA in evaluating the efficiency of the township health centers

作　　者：李春芳[1] 陈宁姗[2] 尹爱田[3] 马安宁[4] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]卫生部政策法规司 [3]山东大学卫生管理与政策研究中心 [4]山东潍坊市卫生局

出　　处：《中华医院管理杂志》2005年第3期190-193,共4页Chinese Journal of Hospital Administration

基　　金：法国奥维涅大学资助项目"乡镇卫生院筹资状况及对其服务功能的影响"研究课题的一部分

摘　　要：目的　恰当应用数据包络分析 (DEA)方法评价乡镇卫生院的效率 ,为乡镇卫生院效率评价提供方法学依据。方法　用服务当量法和专家咨询法设计了乡镇卫生院医疗防保服务产出的综合指标 ,并用DEA法计算出乡镇卫生院的相对效率得分。结果　DEA有效单元有 9个 ,占全部单元的5 4 % ,乡镇卫生院各年的DEA得分呈下降趋势。结论　①本研究通过研制乡镇卫生院服务产出综合指标 ,在DEA产出指标体系中包含了防保和医疗服务的更多产出信息 ,更加综合地反映了乡镇卫生院的效率。②乡镇卫生院的整体效率较低 ,且呈逐年下降趋势。Objective To evaluate the efficiency of the township health centers with the appropriate use of data envelope analysis (DEA) so as to provide methodological basis for such evaluation. Methods The composite indexes of the township health centers medical and preventive service output were designed by means of service equivalent and expert consultation and the township health centers relative efficiency scores were calculated by means of DEA. Results There were 9 units where DEA was effective, accounting for 5 4% of all the units, and the township health centers DEA scores took a downward turn year by year. Conclusion ① By developing the composite indexes of the township health centers service output, the present study has put more preventive and medical service output information in the DEA output index system. ② The overall efficiency of the township health centers is pretty low and is moreover taking a downward turn year by year.

关 键 词：乡镇卫生院 服务产出 方法评价 医疗服务 方法学 下降趋势 专家咨询法 效率评价 DEA 数据包络分析 

分 类 号：R197.62[医药卫生—卫生事业管理] F719[医药卫生—公共卫生与预防医学]