药品零加成改革对广东省公立医院运行效率的影响  

Effects of Canceling Drug Price Addition Reform on Operation Efficiency of Public Hospitals in Guangdong Province

作　　者：宋承毅 李超[2] 匡艳阳 谢岱仪[2] 王前[2] Song Chengyi(School of Health Services Management,Southern Medical University,Guangzhou,510515)

机构地区：[1]南方医科大学卫生管理学院,广州510515 [2]南方医科大学珠江医院,广州510280 [3]广东省卫生和计划生育委员会信息与统计处,广州510060

出　　处：《医学与社会》2018年第10期28-31,共4页Medicine and Society

基　　金：广州市公共卫生服务体系建设研究基地重点课题“广州地区公立医院综合改革取消药品加成后医保支付方式定量研究”.

摘　　要：目的:研究全面取消药品加成、医疗服务价格调整政策对广东省公立医院运行效率的影响。方法:运用数据包络分析CCR模型和BCC模型对广东省实施药品零加成政策中具有代表性的35家公立医院的综合技术效率、纯技术效率、规模效率以及投入产出效率在价格体系调整前后的变化进行分析。结果:药品零加成政策实施后,广东省35家公立医院综合技术效率平均值为0.718,纯技术效率平均值为0.785,规模效率平均值为0.910。DEA模型分析显示,综合技术高效率(0.8-1.0)医院12家,中等效率(0.5-0.8)的医院16家,仅有7家医院处于较低效率(0-0.5)。结论:广东省药品零加成、价格体系调整政策实施效率较高,提高了公立医院对卫生医疗资源的优化配置能力及利用卫生资源的规模效率。Objective： This paper studies the effect of medical reform policies canceling of the drug addition and adjusting of the medical service price policy on the operation efficiency of public hospitals in Guangdong province. Methods： This article uses data envelopment analysis CCR model and BCC model to analyze technical efficiency, pure technical efficiency and scale efficiency of 35 public hospitals after cancel drug addition, mainly analyzes the input and output efficiency of the hospital to adjust the price before and after the change. Results： Since cancel drug addition policy, the average value of technical efficiency of 35 public hospitals in Guangdong province is 0.718, the average of pure technical efficiency is 0.785, and the average scale efficiency is 0.910. The DEA model analysis shows that the technical efficiency （0.8-1.0） hospital is 12, the secondary efficiency （0.5-0.8） hospital is 16, and only 7 hospitals are in low efficiency （0-0.5）. Conclusion： The efficiency of canceling drug addition and price system adjustment policies in Guangdong is relatively high. It not only promotes the optimal allocation of health and medical resources in public hospitals, but also increases the scale efficiency of public hospitals in the use of health resources.

关 键 词：医疗改革 药品加成 医疗服务价格 数据包络分析 广东 

分 类 号：R19-0[医药卫生—卫生事业管理]