包皮环切在各人群中推广模式的技术效率分析  

Longitudinal analysis of technical efficiency of the model of male circumcision in different kinds of people

作　　者：罗皓[1] 蒋俊俊[2] 石艺[2] 梁浩[2] 

机构地区：[1]广东医学院公共卫生学院,广东东莞523808 [2]广西医科大学公共卫生学院流行病学教研室/艾滋病研究中心,南宁530021

出　　处：《重庆医学》2013年第33期4064-4066,共3页Chongqing medicine

基　　金：国家科技重大专项项目(2008ZX10001-016)

摘　　要：目的：对包皮环切在各人群中推广模式的单位费用（手术意愿改变单位费用和手术单位费用）和技术效率进行测算和评价，分析其影响因素和时间序列规律。方法以人群为单位，随访时间为1个周期，共3个周期，测算推广模式的单位费用，采用数据包络分析的原理计算相对技术效率和Malmquist生产率变化指数。结果手术意愿改变单位费用随着项目进展迅速下降，各周期平均最高时为7166．67元，最低时为737．31元；手术单位费用随着项目进展出现回升，各周期平均最低时为666．64元，最高时为744．58元；各周期技术效率值均数为0．95～0．96。结论手术意愿改变单位费用的时间序列呈现下降趋势，手术单位费用的时间序列依次呈现下降期和上升期变化；单位费用和技术效率的时间序列分析结果对于项目规划和管理具有指导意义。Objective To longitudinally analyze the unit costs and technical efficiency of the model of male circumcision in the different kinds of persons .Methods Unit costs were calculated by the person and period using longitudinal data from 3 kinds of persons ,and then technical efficiency and Malmquist indices were measured with an approach to data envelopment analysis . Results Theunit costs for changing the willingness to accept surgery changed dramatically ,decreasing from 7 166 .67 yuan（mean） to 737 .31 yuan ,while the costs for changing the ratio of the surgery increased from 666 .64 yuan （mean） to 744 .58 yuan ,and its technical efficiency was averaging between 0 .95-0 .96 .Conclusion The time series of unit costs for changing the willingness to ac-cept surgery dramatically dropped ,while changing the ratio of the surgery formed a U-shape curve with an inflection point before which unit costs dramatically dropped and another inflection point beyond which unit costs went up .These findings can inform pro-gram managers of the changing unit costs when extending or expanding the program .

关 键 词：包皮环切推广模式 费用 技术效率 

分 类 号：R699[医药卫生—泌尿科学]