DRGs支付方式改革前后医院技术效率比较研究——以F市为例  

Comparison of Hospital Technical Efficiency Before and After Diagnosis-Related Groups Payment Reform-Sampled with F City

作　　者：李超凡 何佳琳 杨燕绥 Li Chaofan(Institute for Hospital Management,Tsinghua University,Shenzhen,P.R.China)

机构地区：[1]清华大学医院管理研究院,广东深圳518000

出　　处：《中国卫生事业管理》2021年第9期641-644,649,共5页Chinese Health Service Management

基　　金：国家社会科学基金重大项目“实现积极老龄化的公共政策及期机制研究”(17ZDA121)。

摘　　要：目的:比较DRGs支付方式改革前后医院技术效率的变化,为推广DRGs和完善现代医院管理制度提供依据。方法:从F市获取45家样本医院2017和2018年的投入产出数据,应用DEA法测算技术效率、纯技术效率和规模效率。结果:2017年样本医院技术效率、纯技术效率和规模效率的均值分别是0.804、0.864、0.928,2018年是0.782、0.836、0.933,全要素生产率降低1.7%。结论:DRGs改革后,短期内医院技术效率没有提升,需要开展临床路径、优化流程和控制规模,尽快建立现代医院管理制度。Objective To comparatively analyze the change of hospital technical efficiency before and after the DRGs payment reform,and provide references for promoting DRGs and improving modern hospital management system.Methods Input and output data of 45 sample hospitals in F City from 2017 to 2018 was obtained,and its efficiency was calculated by Bootstrap-DEA method.Results The average values of technical efficiency,pure technical efficiency and scale efficiency of the sample hospitals in 2017 were 0.804,0.864,and 0.928,respectively.In 2018,they were 0.782,0.836,and 0.933,respectively.And the Malmquist index decreased 1.7%.Conclusion After the DRGs reform,hospital operation efficiency has not been improved significantly in short term.More management tools,such as clinical pathways,process optimization,and scale control need to be applied to improve technical efficiency.

关 键 词：技术效率 DRGS 预付制 医院 

分 类 号：R197[医药卫生—卫生事业管理]