“十二五”和“十三五”时期我国医院效率对比研究:基于DEA-Malmquist指数模型  

Comparative Research on Hospital Efficiency in China during the "12th Five-Year Plan" Period and "13th Five-year Plan" Period:Based on DEA-Malmquistindex Model

作　　者：张文天 李慧 孔凡悦[1,2] 王权 ZHANG Wen-tian;LI Hui;KONG Fan-yue(Center for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,Shandong,250012,China;National Health Council Health Economics and Policy Research Key Laboratory(Shandong University),Jinan,250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究,济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南250012

出　　处：《中国卫生经济》2022年第11期69-73,共5页Chinese Health Economics

基　　金：国家卫生健康委员会资助项目《“十四五”时期卫生健康需求与供给状况研究》。

摘　　要：目的:分析比较“十二五”和“十三五”时期我国医院运营效率的差异,为提高医院运营效率提供科学依据。方法:描述“十二五”和“十三五”时期我国医院的投入、产出指标的发展水平,利用DEA-Malmquist指数模型分析医院的运营效率。结果:“十二五”时期我国医院的运营效率整体呈提高的趋势,在31个省份中,只有天津、内蒙古、甘肃、宁夏、西藏、福建、海南和云南8个省份医院的运营效率呈下降趋势,其余23个省份医院的运营效率均呈提高的趋势。而在“十三五”时期我国医院的整体运营效率和各省份医院的运营效率均呈下降趋势。结论:公立医院改革和技术水平可能是影响医院运营效率的原因。政府部门要有效控制医院规模,提高资源配置和利用效率,打破技术准入壁垒。医院要提高技术水平和管理能力。Objective:To analyze and compare the differences between the operation efficiency of hospitals in China during the "12 th Five-Year Plan" period and the "13 th Five-Year Plan" period,and provide scientific basis for improving the operation efficiency of hospitals.Methods:It describes the development level of input-output indicators of Chinese hospitals during the "12 th Five-Year Plan" and "13 th Five-Year Plan" period,and uses the DEA-Malmquist index model to analyze the operational efficiency of hospitals.Results:During the "12 th Five-Year Plan" period,the operation efficiency of hospitals in China showed an increasing trend.Among 31 provinces(districts and cities),only the operation efficiency of hospitals in Tianjin,Inner Mongolia,Gansu,Ningxia,Tibet,Fujian,Hainan and Yunnan showed a downward trend,and the operation efficiency of hospitals in the other 23 provinces(districts and cities) showed an increasing trend.During the "13 th Five-Year Plan" period,the overall operation efficiency of hospitals in China and the operation efficiency of hospitals in various provinces showed a downward trend.Conclusion:The reform and technical level of public hospitals may be the reasons affecting the operation efficiency of hospitals.The government should effectively control the scale of hospitals,improve the efficiency of resource allocation and utilization,and break down technical access barriers.Hospitals should improve their technical level and management ability.

关 键 词：“十二五”时期 “十三五”时期 医院 运营效率 DEA-Malmquist指数模型 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F224.9[经济管理—国民经济]