基于数据包络分析的社区健康服务中心运营效率评价及发展建议  

Evaluation of Operational Efficiency of Community Health Service Centers Based on Data Envelopment Analysis and Suggestions for Development

作　　者：孙静钗 孙国平[1,2] 陈先辉[2] 

机构地区：[1]武汉大学公共卫生学院,湖北省武汉市430000 [2]深圳市坪山新区人民医院

出　　处：《中国全科医学》2015年第28期3401-3404,共4页Chinese General Practice

基　　金：2014年广东省医学科研基金项目(A2014671);2014年深圳市坪山新区科研项目(201419)

摘　　要：目的评价社区健康服务中心(社康中心)的运营效率,并提出发展建议。方法运用数据包络分析(DEA),对深圳市坪山新区某公立医院下设的21家社康中心2013年的基本运行效率(包括综合效率、纯技术效率和规模效率)进行分析。评价指标:投入指标包括总支出、职工人数;产出指标包括总收入、门诊人次、妇儿保健人次、慢性病管理人数、家庭医生签约数。结果 21家社康中心平均综合效率为0.839,综合有效比例为38.1%(8/21);平均技术效率为0.929,纯技术有效比例为66.7%(14/21);平均规模效率为0.904,规模有效比例为38.1%(8/21);其中综合效率、纯技术效率及规模效率均未达到有效的社康中心有7家。结论社康中心运行效率较低,且存在医疗资源浪费及各项医疗服务开展不均衡等问题;在进行社康中心建设中,应合理进行资源配置,发挥各资源的最大效用。Objective To explore the operational efficiency of community health service centers and provide references for the development of community health service centers. Methods Data envelopment analysis（ DEA） was conducted to evaluate the fundamental operational efficiency（ including general efficiency, pure technical efficiency and scale efficiency） of 21 community health service centers affiliated to a public hospital in Pingshan New District of Shenzhen in 2013. The evaluation indexes include input indexes, which are total expenditure and the number of staff, and output indexes, which are general income,number of outpatients,number of woman and children who have received healthcare, number of patients who have received chronic disease management and number of contract- signing family doctors. Results The average general efficiency was0. 839,with a generally effective proportion of 38. 1%（ 8 /21）; the average technical efficiency was 0. 929,with a technical effective proportion of 66. 7%（ 14 /21）; the average scale efficiency was 0. 904,with a scale effective proportion of 38. 1%（ 8 /21）; there were 7 community health service centers that didn＇t reach effective level in general efficiency,pure technical efficiency and scale efficiency. Conclusion Community health service centers have low operational efficiency, and problems exist in terms of the waste of medical resources and imbalance among various items of medical services. In the construction of community health service center,resources should be rationally allocated,and the best use of resources should be made.

关 键 词：社区健康服务中心 运行效率 数据包络分析 

分 类 号：R197[医药卫生—卫生事业管理]