基于DEA—Tobit两阶段法的深圳市社会办医院运行效率及影响因素分析  

Private hospitals operated in DEA-Tobit model in Shenzhen： operating efficiency and influencing factors

作　　者：李晓森[1] 陈瑶[1] 朱远燕 冯俊剑 刘智勇[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中华医院管理杂志》2017年第11期876-880,共5页Chinese Journal of Hospital Administration

摘　　要：目的了解深圳市社会办医院效率变化情况，分析影响社会办医院卫生资源利用效率的因素。方法采用DEA—Tobit两阶段法，对2010年至2015年深圳市40家社会办医院的运行效率和影响因素进行分析。结果社会办医院6年内技术效率为0．690～0．742，其全要素生产变化指数与技术变化指数一致，投入和产出指标呈现非线性增长；样本医院内部因素和外部因素共同制约其运行效率的提升。结论两阶段法有效揭示了深圳市社会办医院的动态效率变化以及影响因素的作用程度。样本医院技术效率6年内呈波动式起伏，存在投入冗余和产出不足的现象。样本医院需要加强诊疗技术的创新应用，以强化内部管理，提升运行效率。Objective To study the efficiency changes of private hospitals in Shenzhen and explore influencing factors for the utilization efficiency of health resources. Methods DEA-Tobit two-stage model was used to analyze the operating efficiency and influencing factors of Shenzhen＇s private hospitals. Results The range of technical efficiency varied between 0. 690 to 0. 742 in six years, and the index of total factor production was consistent with the technical change index. The input and output indicators showed non-linear growth. The internal and external factors of sample hospitals jointly influence the efficiency of operation. Conclusions The two-stage method effectively reveals the dynamic efficiency change and the influencing factors of these hospitals in Shenzhen. The technical efficiency of sample hospitals fluctuates in waves in six years, with investment redundancy and insufficient output found. Sample hospitals need to strengthen their innovative application of diagnostic and therapeutic technology, and to strengthen their internal management and improve operating efficiency.

关 键 词：深圳市 社会办医院 DEA—Tobit两阶段法 运行效率 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]