山东省县级中医院中医医疗服务效率评价  

To Evaluate the Traditional Chinese Medical Service Efficiency of the County Traditional Chinese Medicine Hospitals in Shandong Province

作　　者：王丽君[1,2] 尹爱田[1] 

机构地区：[1]山东大学卫生管理与政策研究中心卫生部卫生经济与政策研究重点实验室,济南250012 [2]山东中医药大学人文社科学院公共事业管理教研室

出　　处：《中国卫生经济》2013年第5期81-83,共3页Chinese Health Economics

基　　金：国家自然基金(71073099);山东省自然科学基金(ZR2010GM004)

摘　　要：目的:对山东省县级中医院的中医医疗服务效率进行评价,为合理配置基层中医发展资源提供决策和参考。方法:典型指标的筛选使用主成分分析方法,使用DEA数据包络方法分析县级中医院的中医医疗服务效率。结果:从总体上看,综合效率有效的县级中医院为40所,综合效率平均值为78.22%。纯技术效率有效的县级医院为54所,纯技术效率平均值为83.64%。规模效率递增的为16所,规模效率不变的有40所医院,规模效率递减的为45所医院。从规模上看,效率有效比例和纯技术效率有效比例最高的均为中小规模,而比例最低的均为大规模组。对非DEA有效县级中医院的投入产出的投影分析,非总体有效决策单元在所有投入指标均有不同程度的过剩与浪费。结论:控制县级中医院规模,强化中医药服务项目的财政补助,控制非中医特色医疗设备的配置。Objective： To evaluate the traditional Chinese medical service efficiency of the county traditional Chinese hospitals （TCM） in Shandong province. Methods： Use the principal component analysis method to choose the typical indicators and use DEA to analyze the efficiency of the county TCM hospitals. Results： Based on the whole, the average of the Technical Efficiency Score is 78.22%, and the average of the Pure Technical Efficiency Score is 83.64%.There are 16 increasing hospitals, 40 constant hospitals and 45 decreasing hospitals. On the sacle, the highest and lowest rate of the Technical Efficiency Score and the Pure Technical Efficiency Score are individually belong to middle and small scale hospitals and big scale hospitals. On the projection analysis, there are existing surplus and waste in the input indicators and the output indicators. Conclusion： To control the scale of county TCM hospitals and the equipment of non-TCM and increase the financial supplement.

关 键 词：中医院 效率 数据包络分析 

分 类 号：R197.4[医药卫生—卫生事业管理]