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作 者:庞婷 韦波[1] 冯启明[1] PANG Ting;WEI Bo;FENG Qi-Ming(Hygiene and Health Policy Research Center,Guangxi Medical University,Nanning,Guangxi 530021,China)
机构地区:[1]广西医科大学卫生与健康政策研究中心,广西南宁530021
出 处:《中国妇幼保健》2020年第13期2348-2351,共4页Maternal and Child Health Care of China
基 金:广西医科大学特色新型智库项目(GXMUZK05)。
摘 要:目的评价广西市级妇幼保健院的效率及其变动情况,探讨其中存在的问题,为促进广西市级妇幼保健院科学发展提供参考依据。方法系统收集广西15家市级妇幼保健院2015-2017年卫生技术人员数量、年门诊人次等投入—产出指标,采用数据包络分析(DEA)-CCR和BCC模型计算相对效率,运用超效率模型对效率值进行排序,再通过Malmquist指数模型分析效率的动态变化。结果2015年6家妇幼保健院为DEA有效,2016年5家DEA有效,2017年4家DEA有效。2015-2017年,广西市级妇幼保健院全要素生产率指数为0.962,7家市级妇幼保健院的生产率有所改进,8家有所下降。结论各市妇幼保健院发展不平衡,现有妇幼卫生资源总体利用效率不高;全要素生产率整体呈下降趋势,效率变化为全要素生产率变化的主要原因;技术水平有待提高,应采取针对性措施打通技术堵点。Objective To evaluate the efficiency and its changes of Guangxi Municipal Maternal and Child Health Hospital,to explore the existing problems,and to provide a basis for promoting the scientific development of Guangxi Municipal Maternal and Child Health Hospital.Methods The input-output indicators of the number of health technicians,annual outpatients and others indicators in 15 municipal maternal and child health hospitals in Guangxi from 2015 to 2017 were collected systematically.The relative efficiency of Guangxi municipal maternal and child health hospitals was calculated by using CCR and BCC models of data envelopment analysis(DEA).The efficiency values were ranked by DEA super-efficiency model,and then the dynamic change of efficiency was analyzed by Malmquist index model.Results DEA was effective in 6 municipal MCH hospitals in 2015,effective in 5 in 2016 and effective in 4 in 2017.From 2015 to 2017,the total factor productivity index of Guangxi Municipal Maternal and Child Health Hospitals was 0.962.The productivity of seven Municipal Maternal and Child Health Hospitals improved,while that of eight decreased.Conclusion The development of maternal and child health centers in each city is unbalanced,and the overall utilization efficiency of existing maternal and child health resources is not high.Total factor productivity shows a downward trend as a whole,and the change of efficiency is the main reason for the change of total factor productivity.Technological level needs to be improved.Targeted measures should be taken to break through the technical blockade.
关 键 词:市级妇幼保健院 数据包络分析 超效率 MALMQUIST指数 广西
分 类 号:R172[医药卫生—妇幼卫生保健]
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