公立医院技术效率影响因素研究  

Study on Influencing Factors of Technical Efficiency in Public Hospitals

作　　者：唐娴[1] 潘晓平[2] 廖菁[3] 况景勤[3] 全婷[3] 钟若冰[3] 张靖[3] 刘雅倩 文永思[1] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]中国疾病预防控制中心妇幼保健中心,北京100050 [3]四川省医学科学院四川省人民医院,成都610072

出　　处：《中国卫生经济》2011年第3期56-57,共2页Chinese Health Economics

基　　金：四川省卫生厅科研基金资助项目(100546)

摘　　要：目的:探讨公立医院技术效率影响因素。方法:基于四川省县级及以上公立医院2003—2007年投入产出数据,采用DEA测量的技术效率,拟合Tobit模型和两水平方差成分模型探讨医院效率影响因素。结果:样本平均技术效率为0.73157。平均住院日、政府投入占医院总收入的比例、职工总数中医院与效率呈负相关;病床使用率、门诊住院人次比与效率呈正相关。结论:Tobit模型和两水平模型相结合分析基于面板数据的医院效率影响因素较为合适。缩短平均住院日、提高病床使用率、提高门诊住院人次数比和控制医院职工总数等有利于提高医院技术效率。Objective： To explore the factors on efficiency of public hospitals. Methods： DEA was used to access the hospital＇s efficiency in Sichuan Province from 2003 to 2007, and Tobit Regression Model and Two-level Variance Component Model were set up to explore the influencing factors. Results： The average TE is 0.731 57. The efficiency was negatively related to average hospitalization stay, government input, the hospital work force and being hospital of traditional Chinese Medicine. And it was positively associated to bed utilization rate and outpatients/inpatients ratio. Conclusion： More accurate and reasonable results can be obtained combing with Tobit model and two-level model. Shortening the hospitalization stay, raising the bed utilization rate and controlling the work force may be good ways to improve the technical efficiency of hospitals.

关 键 词：医院 效率 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]