生产技术异质性视角下重庆市县级公立医院效率评价研究  

Research on Efficiency of County-level Public Hospitals in Chongqing from the Perspective of Production Technology Heterogeneous

作　　者：谭华伟 郑万会[1,2,3] 张云[1,2,3] 颜维华[1,2,3] 朱小玲[1,2,3] 刘宪[1,2,3] 张培林[1,2,3] 

机构地区：[1]重庆市医院成本管理研究中心,重庆400700 [2]重庆市第九人民医院,重庆400700 [3]重庆市卫生经济学会秘书处,重庆400700

出　　处：《中国卫生经济》2016年第6期58-61,共4页Chinese Health Economics

基　　金：国家社会科学基金项目(14BGL112);重庆市卫生计生委医学科研计划项目(20143044)

摘　　要：目的:比较分析重庆市不同类型县级公立医院运营效率,并测算效率损失程度、探究效率损失根源。方法:利用重庆市2012—2014年医疗机构主要指标汇编数据,运用非参数共同前沿方法进行分析。结果:在共同前沿条件下,综合医院和中医院运营效率得分均值为0.742和0.719,差异具有统计学意义(P<0.05);在组别前沿条件下,综合医院和中医院运营效率得分均值为0.754和0.790,差异具有统计学意义(P<0.05)。综合医院组内组别前沿和共同前沿运营效率得分均值为0.758和0.742,差异具有统计学意义(P<0.05);中医院组为0.790和0.682,差异具有统计学意义(P<0.05)。综合医院和中医院技术落差比率均值为0.984和0.863,差异具有统计学意义(P<0.05)。综合医院和中医院无效率得分均值为0.258和0.318,差异无统计学意义(P>0.05)。技术无效率和管理无效率对综合医院效率损失的贡献度分别为4.64和95.36,中医院为33.99和66.01。结论:重庆市县级公立医院显著存在技术异质性特征,并且不同类型县级公立医院技术异质性表现程度存在显著差异;综合医院效率损失主要来源于落后的管理水平,中医院由生产技术水平和管理水平双重因素所致。Objective：To compare the operational efficiencies of different county-level public hospitals in Chongqing, estimatethe efficiency loss and explore the reason for the loss.Methods：Data from indicators of medical institutions of Chongqing from 2012 to 2014 were adopted and analyzed by the non-parametric meta-frontier method.Results：Under the metafrontier, the mean values ofoperational efficiency scores in general public hospitals and traditional Chinese medical（TCM hospitals were 0.742 and 0.719, the dif-ference had statistic difference（P0.05）; under the condition of group frontier, the mean values of operational efficiency scores in gen-eral public hospitals and TCM hospitals were 0.754 and 0.790, the difference had statistic difference（P0.05）. The mean values of op-erational efficiency scores of group frontier and metafrontier in general hospital were 0.758 and 0.742, the difference had statistic dif-ference（P0.05）; these of TCM group were 0.790 and 0.682, the difference had statistic difference（P0.05）. The mean values of tech-nological gap ratio in general public hospitals and TCM hospitals were 0.984 and 0.863, the difference had statistic difference（P0.05）. The mean values of non-efficiency in general public hospitals and TCM hospitals were 0.258 and 0.318, the difference had sta-tistic difference（P0.05）. The contribution rates of non-efficiencies in technology and management on the losses of general hospital ef-ficiency were 4.64 and 95.36, while these for TCM hospitals were 33.99 and 66.01.Conclusion：County-level public hospitals ofChongqing had significant technology heterogeneity, while different county-level public hospitals had significant different in heteroge-neity performance; the efficiency losses of general hospitals were mainly resulted by backward management level while these of TCMhospitals were resulted by production technology level and management level.

关 键 词：县级公立医院 运营效率 生产技术异质性 重庆 

分 类 号：R197.322[医药卫生—卫生事业管理]