四川省340家公立医院技术效率的随机前沿生产函数分析  

Measuring technical efficiency of 340 public hospitals in sichuan province by using stochastic frontier analysis

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

机构地区：[1]四川省医学科学院/四川省人民医院城东病区质量管理科,成都610101 [2]四川省医学科学院/四川省人民医院学术期刊部,成都610072 [3]四川省医学科学院/四川省人民医院科技部,成都610072 [4]四川大学华西公共卫生学院卫生统计教研室,成都610041

出　　处：《重庆医学》2011年第25期2556-2558,共3页Chongqing medicine

基　　金：四川省卫生厅科研基金资助项目(080341)

摘　　要：目的探讨公立医院的技术效率,为充分利用医疗卫生资源和提高效率提供参考依据。方法将医院的技术效率值划分为低效率（0~0.50]、中等效率（〉0.50~0.80]、高效率（〉0.80~1.00],采用随机前沿生产函数评价医院的技术效率,采用方差分析、秩和检验方法对技术效率的影响因素进行分层分析。结果每年低效率者占0.07%,中等效率者占55.40%,高效率者占44.53%。平均技术效率值为0.794;级别越高的医院,病床使用率越高（P=0.000）,工作量越大（P=0.000）;西医医院的病床使用率和工作量均大于中医医院（P=0.027）;不同级别和类型医院的人员学历和职称构成差异有统计学意义（P〈0.05）。结论四川省县级及县级以上公立医院的整体技术效率较高;技术效率相对低下的公立医院其规模过大;级别越高的医院,高层次人才越多。Objective To probe into the technical efficiency of 340 public hospitals,and then provide information for allocating the hospital resources and improving hospital efficiency.Methods The technical efficiency of the hospital was divided into three grades,low efficiency（0-0.50）,average efficiency（0.50-0.80）,and high efficiency（0.80-1.00）.Stochastic Frontier Analysis was used to analyze the technical efficiency of the hospitals,and then the repeated-measures ANOVA was used to analyze the factors which effects the technique efficiency.Results Each year,the group of lower efficiency takes 0.07%,that of average efficiency takes 55.40%,and the one of high efficiency takes 44.53%;the average technical efficiency of 340 public hospitals was 0.794;the higher rank the hospitals are belonged to,the larger the bed utilization ratio and workload would be（P=0.000）,and the bed utilization ratios and workload of hospital of western medicine are lager than these of its counterpart.In terms of employee＇s diploma and professional title,there are significant differences among hospitals（P0.05）.Conclusion The input and output efficiency of public hospitals ranking county-level and above in Sichuan province performed well.The hospitals with lower technical efficiencies were over-sized.High-rank hospitals had more talents.

关 键 词：公立医院 技术效率 随机前沿分析 

分 类 号：R197.3[医药卫生—卫生事业管理]