医院分类管理背景下北京市营利性与非营利性医院运行效率比较研究  

Comparative study on the efficiency of for-profit and non-profit hospitals in Beijing under the background of classified management of medical institutions

作　　者：石婧瑜 崔成森 左旭 张晓玉 孟开[1] SHI Jingyu;CUI Chengsen;ZUO Xu;ZHANG Xiaoyu;MENG Kai(School of Public Health,Capital Medical University,Beijing100069,China;Department of Research,Beijing Friendship Hospital,Capital Medical University,Beijing100050,China;Modern Hospital Management Capacity Building Expert Committee,National Health Commission Capacity Building and Continuing Education Center,Beijing100044,China)

机构地区：[1]首都医科大学公共卫生学院,北京100069 [2]首都医科大学附属北京友谊医院科研处,北京100050 [3]国家卫生健康委能力建设和继续教育中心现代医院管理能力建设专家委员会,北京100044

出　　处：《中国医药导报》2021年第7期152-156,共5页China Medical Herald

基　　金：国家卫生健康委员会体改司委托项目。

摘　　要：目的探究在医院分类管理背景下北京市所有制形式和效率之间的关系,为提高医院运行效率及完善相关政策提供科学依据。方法以医院实有床位数、卫生技术人员数为投入指标,总诊疗人次数、出院人数、床位使用率为产出指标,使用数据包络分析中假设规模收益可变模型、假设规模收益不变模型和Malmquist指数模型,对2013—2017年北京市营利性及非营利性医院进行静态、动态效率测算并比较。结果营利性医院规模、医疗服务提供量均低于非营利性医院,营利性医院综合技术效率、纯技术效率均低于非营利性医院,但其规模效率高于非营利性医院,动态效率分析结果显示营利性医院的全要素生产率变动高于非营利性医院。结论营利性医院应注重提升纯技术效率来获得效率的提升,即注重自身管理能力的提高、注重人才发展战略同时适度扩大规模来提升总体的效率,探索集团化和差异化发展,而非营利性医院更应注重规模效率的提升,控制规模不合理的增长。Objective To explore the relationship between the form of ownership and efficiency in Beijing under the background of classification management,and to provide a scientific basis for improving the operational efficiency of hospitals and improving relevant policies.Methods The number of beds and the number of health technicians in the hospital were used as input indexes,and total number of therapists,the number of discharged patients,and bed occupancy rate were used as output indexes.BCC,CCR models and Malmquist models in data envelope analysis were used to calculate the static and dynamic efficiency of for-profit and non-profit hospitals in Beijing from 2013 to 2017.Results In for-profit hospitals,the hospital scales and the number of medical service were significantly lower than non-profit hospital,comprehensive technical efficiency,pure technical efficiency in for-profit hospitals were lower than non-profit hospital,but the scale efficiency was higher than that of non-profit hospitals,dynamic efficiency analysis results showed the efficiency of for-profit hospital growth rate was higher than that of non-profit hospital.Conclusion For-profit hospitals should pay attention to improve the whole efficiency of pure technical efficiency for ascension,namely,pay attention to improve their management ability,pay attention to talent development strategy,appropriate scale to enhance the overall efficiency at the same time,explore the development of collectivization and differentiation,the non-profit hospitals should pay attention to promote the efficiency of scale,control the unreasonable grouth of scale.

关 键 词：营利性医院 非营利性医院 效率 数据包络分析 

分 类 号：R197.2[医药卫生—卫生事业管理]