分析评价四川省340家公立医院的技术效率  

The analysis of technical efficiency about the public hospitals in sichuan province

作　　者：张靖[1] 钟若冰[2] 廖菁[2] 张菊英[3] 韩亮[2] 曹勤[4] 

机构地区：[1]四川省医学科学院.四川省人民医院城东病区,成都610101 [2]四川省医学科学院.四川省人民医院,成都610072 [3]四川大学华西公共卫生学院,成都610041 [4]四川省医学情报研究所,成都610072

出　　处：《重庆医学》2011年第19期1929-1931,共3页Chongqing medicine

基　　金：四川省卫生厅科研基金资助项目(080341)

摘　　要：目的探讨四川省县级及县级以上公立医院的技术效率,为进一步合理配置医院资源提供科学依据。方法采用文献复习、问卷调查等方法了解公立医院2003～2007年的投入产出情况,应用数据包络分析方法(DEA)评价各医院技术效率。结果全省340家公立医院平均总技术效率值为0.758,纯技术效率值为0.800,73.03%的三级医院规模收益递减;县级和二级医院的技术效率均低于同类其他医院;中医院的平均住院日较长。结论四川省县级及县级以上公立医院的整体投入产出水平较高;建议规模收益递减的三级医院适当控制医院规模;缩短县级和二级医院的平均住院日;建议中医院加强民族医药技术进步。Objective To probe into the technical efficiency of 340 public hospitals ranking county-level and above in Sichuan province from the year 2003 to 2007,and then provide information for allocating the hospital resources and improving hospital efficiency.Methods We got the above information by reviewing literatures and collecting questionnaires.We calculated technical efficiency of these hospitals by the method named Data Envelopment Analysis（DEA）.Results The overall technical efficiency of 340 public hospitals was 0.758,and pure technical efficiency was 0.800;the percentage of decreasing returns to scale in Grade 3 public hospitals was 73.03%;in terms of overall and pure technical efficiency,the county-level and Grade 2 hospitals were inferior to other hospitals;the average length of stay in hospitals of TCM was much longer.Conclusion The input and output efficiency of public hospitals in Sichuan province performed well;It suggest that the Grade 3 hospitals decreasing returns to scale control their sizes,shorten the average length of stay in hospitals of county-level or Grade 2,promote the progress of minority medicine in hospitals of TCM.

关 键 词：公立医院 技术效率 数据包络分析 

分 类 号：R197.3[医药卫生—卫生事业管理]