基于数据包络分析的县级公立医院运行效率评价  

Efficiency evaluation of county-level public hospital based on data envelopment analysis

作　　者：徐雨晨[1] 王润华[1] 付广建[1] 

机构地区：[1]重庆医科大学公共卫生与管理学院卫生统计教研室,400016

出　　处：《重庆医学》2013年第32期3939-3941,3944,共4页Chongqing medicine

摘　　要：目的探讨运用数据包络分析评价县级公立医院的运行效率，为卫生决策提供参考和依据。方法随机抽样选取2008～2011年重庆市16家县级公立医院的卫生资源数据，采用数据包络分析方法的CCR—CRS和BCC—VRS模型对2011年16家县级公立医院的相对运行效率进行研究，通过Malmquist指数对2008～2011年生产率变化趋势进行分析。结果2011年16家县级公立医院平均综合效率值0．938，总体有效7家，非总体有效9家，非总体有效的县级公立医院当中有8家规模效率递减，1家规模效率递增。2008～2011年，全要素生产率年平均增加2．5％，2008～2009年生产率减少，2009～2011年生产率连续增加。结论16家县级公立医院的总体效率不高，需要合理发展医院规模，加强医院管理水平，提高技术能力。Objective To explore operating efficiency of county-level public hospital by using data envelopment analysis, provide reference,and basis for health decision-making. Methods The health resources data of 16 countyqevel public hospitals were ran- domly selected from 2008 to 2011,its relative efficiency were studied by data envelopment analysis method of CCR-CRS and BCC- VRS model,the change trend from 2008 to 2011 were analyzed through the Ma[mquist productivity index. Results The average ef- ficiency value was 0. 938 in 16 county-level hospitals in 2011,7 hospitals was DEA efficient and 9 hospitals was non-DEA efficient （8 hospitals with Scale efficiency decline gradually, another one with increasing gradually）. The total factor productivity increased 2.5% from 2008 to 2011 average annual, the productivity first decreased from 2008 to 2009,and then increased from 2009 to 2011. Conclusion The overall efficiency 16 county-level hospitals is not high, it is necessary to develope hospital scale reasonable, strength hospitals＇management level and improve technical ability of doctors.

关 键 词：运行效率 县级公立医院 数据包络分析 

分 类 号：R197.3[医药卫生—卫生事业管理]