新型农村合作医疗实施前后乡镇卫生院效率变化的研究  

Research of Township Hospitals Efficiency Change Before and After the Implementation of the New Rural Cooperative Medical System

作　　者：马桂峰[1] 盛红旗[2] 马安宁[1] 王培承[1] 安洪庆[1] 王宪祥[2] 蔡伟芹[1] 

机构地区：[1]潍坊医学院基础医学院,山东潍坊261053 [2]潍坊市卫生局新农合办公室,山东潍坊261041

出　　处：《中国卫生经济》2012年第4期52-52,53-55,共4页Chinese Health Economics

基　　金：山东省自然科学基金项目(ZR2009CM069)

摘　　要：目的:研究新型农村合作医疗实施前后,乡镇卫生院效率变化情况。方法:选取具有代表性的投入和产出指标,使用DEAP2.1软件,分析24个乡镇卫生院9年间的综合效率、技术效率和规模效率。结果:新型农村合作医疗实施以后,乡镇卫生院门诊量、出院量和基金补偿额度等大幅增加,而总体效率有效的乡镇卫生院所占比例在42%～71%之间变化;技术效率有效的乡镇卫生院所占比例在67%～71%之间变化;有54.17%的乡镇卫生院规模收益不变。结论:新型农村合作医疗制度的实施,激发了乡镇卫生院的经营活力,提升了基层医疗卫生服务的可及性和可得性,但乡镇卫生院效率变化不明显。Objective： To evaluate the efficiency of township hospitals before and after the implementation of the new rural cooperative medical system （NCMS）. Methods： Choosing typical input and output index and use them to calculate the efficiency from 3 aspects of gross, technical and scale for 24 township hospitals of 9 years hy use of DEAP 2.1. Results： The admission amt discharge patients raise significantly after the implementation NCMS, but the effective proportion improvement is not significantly. Conclusion ： The NCMS is helpful for preventing rural residents from poverty caused by disease, but it did not improve efficiency of rural hospitals.

关 键 词：新型农村合作医疗 乡镇卫生院 效率 数据包络分析 

分 类 号：R197.1[医药卫生—卫生事业管理]