社会办医格局下山东省公立医院与民营医院DEA效率对比研究  

Comparative study on DEA efficiency between public hospital and private hospital in Shandong Province under the social medical system

作　　者：陈静静 田学斌 周波 CHEN Jing-jing;TIAN Xue-bin;ZHOU Bo(School of Information and Management,Guangxi Medical University,Nanning Guangxi 530021,China;The First Affiliated Hospital of Shandong First Medical University/Shandong Provincial Qianfoshan Hospital,Jinan Shandong 250014,China)

机构地区：[1]广西医科大学信息与管理学院,广西南宁530021 [2]山东第一医科大学第一附属医院/山东省千佛山医院,山东济南250014

出　　处：《卫生软科学》2021年第6期53-58,共6页Soft Science of Health

基　　金：2017年广西科技基地和人才专项-广西医学创新人才培养示范基地建设(桂科AD17195086)。

摘　　要：[目的 ]对比研究2014-2018年山东省公立医院与民营医院的运营效率,为山东省医院的总体规划和绩效提升提供参考。[方法 ]运用数据包络模型(DEA)的规模收益可变(VRS)BC2模型比较山东省公立医院和民营医院的运营效率。[结果 ] 2014-2018年山东省公立医院机构数从854个减少为807个,民营医院机构数从1000个增长为1772个,但公立医院效率高于民营医院。截至2018年,山东省17个地市的公立医院中,3个地市表现为DEA有效,1个地市表现为弱DEA有效,纯技术效率等于1,其余13个地市表现为非DEA有效。山东省17个地市的民营医院中,3个地市表现为DEA有效,14个地市表现为非DEA有效。[结论 ]山东省民营医院发展较快但竞争力不强,实力较弱,运营效率低于公立医院。山东省面临着医疗资源投入浪费与利用效率低下并存的局面,2018年山东省各地市间医院发展效率存在差异。因此山东省民营医院发展需明确差异化市场定位,合理布局,不断提升自身竞争力;同时提高民营医院效率和医疗技术水平,加强对其监督和管理;减少医院医疗资源投入浪费,提升医院运营效率。Objective To compare the operating efficiency between public and private hospital in Shandong Province from 2014 to 2018 so as to provide reference for overall planning and performance improvement of hospitals in Shandong Province. Methods The variable returns to scale(VRS) BC2 model of data envelopment model(DEA) was used to compare the operating efficiency between public hospital and private hospital in Shandong Province. Results From 2014 to 2018, the number of public hospital decreased from 854 to 807, but private hospital increased from 1000 to 1772, but the efficiency of public hospital was higher than that of private hospital. As of 2018, among the public hospitals in 17 cities in Shandong Province, 3 cities showed effective DEA, 1 city showed weak DEA effective, pure technical efficiency equal to 1, and the remaining 13 cities all showed non-DEA effective. Among the private hospitals of 17 cities in Shandong Province, 3 cities were effective for DEA, and 14 cities were effective for non-DEA. Conclusions Private hospitals in Shandong Province have developed rapidly but their competitiveness and strength are weak, their operating efficiency is lower than that of public hospitals. Shandong Province is faced with the coexistence of waste of health resource input and low utilization efficiency. In 2018, there were differences in the development efficiency of inter-city hospitals in Shandong Province. Therefore, the development of private hospitals in Shandong Province needs to clarify differentiated market positioning, rational layout, and continuously improve their competitiveness;at the same time, improve the efficiency and medical technology level of private hospitals, strengthen their supervision and management;reduce the waste of hospital medical resources and improve hospital operating efficiency.

关 键 词：公立医院 民营医院 医疗资源 DEA 效率对比 

分 类 号：R197.3[医药卫生—卫生事业管理]