四川省乡村医生收入及工作绩效数据包络分析  

Data envelopment analysis on work income and efficiency of rural doctors in Sichuan province

作　　者：张雪莉[1] 杨练[2] 景琳[2] 郑思佳[2] 

机构地区：[1]四川省医学情报研究所统计办公室,成都610041 [2]成都中医药大学管理学院

出　　处：《中国公共卫生》2014年第12期1550-1552,共3页Chinese Journal of Public Health

基　　金：教育部人文社会科学研究项目(11XJA630003)

摘　　要：目的了解四川省乡村医生现有收入下工作效率并分析存在的问题,为提高乡村医生收入报酬提供政策依据。方法采用分层整群随机抽样的方法,对四川省183名乡村医生进行问卷调查,通过数据包络分析对乡村医生的工作效率进行评价研究。结果乡村医生人均从医收入为37 946.1元/年,最低收入4 900.0元/年,最高收入300 000.0元/年,37.9%的医生从医收入在平均值以上;通过数据包络分析对乡村医生现有收入下工作效率进行分析研究,183个决策单元格中,仅有44个单元格综合效率值为1,综合有效率为24.0%;三类不同经济地区综合有效率分别为28.3%、22.5%、20.0%。结论乡村医生从医收入差异较大,不同地区之间地域差异明显;现阶段乡村医生生产要素投入未得到充分利用,工作积极性亟待提高。Objective To examine work income and efficiency of rural doctors in Sichuan province and to provide evidences for increasing remuneration of the rural doctors Methods A face-to-face questionnaire survey was conducted among 183 rural doctors selected with stratified cluster random sampling and data envelopment analysis was adopted in the study. Results Among the rural doctors,the average individual income from medical service per year was 37 946. 1 Yuan（ RMB ）, with a great difference in the individual income between the highest and lowest annual income （300 000.0 Yuan vs. 4 900. 0 Yuan） ; there were 37. 9% of the rural doctors had an annual work income higher than that of the average level. The results of data envelopment analysis showed that for the 183 decision-making units, only 44 had a work efficiency value of 1 ,with a combined work efficiency rate of 24. 0% ; the combined work efficiency rates for the doctors in the three areas with different economic status were 28.3% ,22. 5% ,and 20. 0% ,respectively. Conclusion There are great individual and obvious regional differences in the work income of rural doctors in Sichuan province ; the funding for rural health service is not utilized efficiently and working enthusiasm of rural doctors needs to be improved.

关 键 词：乡村医生 收入现状评价 数据包络分析 

分 类 号：R195[医药卫生—卫生统计学]