基于DEA模型的重庆市32家社区卫生服务中心服务效率评价研究  

Research on service efficiency evaluation of 32 community health service centers in Chongqing based on DEA model

作　　者：吴远芳 黄莉[2] 张鹏[3] 周乐明 无 WU Yuanfang;HUANG Li;ZHANG Peng;ZHOU Leming;无(School of Public Health and Management,Graduate School of Chongqing Medical University,Chongqing 400016,China;Department of Personnel,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;School of Computer Science,Chongqing University of Posts and Telecommunications,Chongqing 400065,China;Chongqing Municipal Health Statistics Information Center,Chongqing 401120,China)

机构地区：[1]重庆医科大学研究生院公共卫生与管理学院,400016 [2]重庆医科大学附属第一医院人事处,400016 [3]重庆邮电大学计算机学院,400065 [4]重庆市卫生健康统计信息中心,401120

出　　处：《重庆医学》2022年第13期2336-2340,共5页Chongqing medicine

基　　金：国家社会科学基金西部项目(16xrk004);重庆市科卫联合项目(2021MSXM011、2018ZDXM013)。

摘　　要：目的通过评估重庆市社区卫生服务中心的服务效率,提出改善并提高社区卫生服务中心的运营管理和服务效率方法。方法2021年1~4月按重庆市“一区两群”每个区域随机抽取2~3个区县,每个区县随机选取4家社区卫生服务中心。共随机抽取重庆市32家社区卫生服务中心,收集2018年社区卫生服务中心的在岗工作人员数、设备数、卫生总支出等数据。采用数据包络分析(DEA)模型分析2018年重庆市32家社区卫生服务中心卫生服务效率情况。结果32家社区卫生服务中心的平均纯技术效率为0.891,其中D3最低(0.371);平均规模效率为0.853,其中D1最低(0.461);平均技术效率(综合效率)为0.761,其中D3最低(0.365)。结论政府应加大卫生方面的投入,高效利用并优化社区卫生服务机构资源配置;重视社区卫生人才培养,提升社区卫生服务队伍素质,提高社区卫生服务机构效率和质量。Objective To improve and enhance the operation management and service efficiency of community health service centers by evaluating the service efficiency of community health service centers in Chongqing.Methods Two-three districts and counties were selected from each area in“one district and two clusters”of Chongqing City,then 4 community health service centers were randomly selected from each district and county.A total of 32 community health service centers in Chongqing City were randomly extracted from January to April 2021.The data of the number of on-the-job staffs,number of equipments and the total health expenditures of the community health service centers in 2018 were collected.The data envelopment analysis(DEA)model was used to analyze the efficiency of 32 community health services in Chongqing City during 2018.Results The average pure technical efficiency of 32 community health service centers was 0.891,in which D3 was the lowest(0.371);the average scale efficiency was 0.853,in which D1 was the lowest(0.461);the average technical efficiency(comprehensive efficiency)was 0.761,in which D3 was the lowest(0.365).Conclusion The government should increase the investment in health,efficiently use and optimize the resource allocation of community health service institutions,attach importance to the cultivation of community health personnel,improve the quality of community health service teams,and improve the efficiency and quality of community health service institutions.

关 键 词：重庆市 社区卫生服务 效率评价 

分 类 号：R197.3[医药卫生—卫生事业管理]