甘肃省公立中医医院医疗资源利用效率评价研究  

Evaluation of the efficiency of medical resource utilization in public traditional Chinese medicine hospitals in Gansu province

作　　者：黎媛媛[1] 米日卡米力·麦麦提沙吾提 常旭红[2] 牛喜信[1] 周伟[1] Li Yuanyuan;Mirikamil Mmetishawuti;Chang Xuhong;Niu Xixin;Zhou Wei(Medical Department,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;School of Public Health,Lanzhou University,Lanzhou 730000,China)

机构地区：[1]甘肃省中医院医务处,兰州730050 [2]兰州大学公共卫生学院,兰州730000

出　　处：《中华医院管理杂志》2023年第3期206-209,共4页Chinese Journal of Hospital Administration

基　　金：甘肃省中医药科研课题(GZKP-2020-15);兰州市科技发展指导性计划项目(2020-ZD-44,2022-ZD-74)。

摘　　要：目的:分析2016-2020年甘肃省公立中医医院的医疗资源利用效率,为提高公立中医医院的卫生服务效率和卫生资源利用效率提供参考。方法:提取2016-2020年甘肃省公立中医医院的在职职工数、实际开放床位数、诊疗人次和出院人次,采用数据包络分析法分析其技术效率、纯技术效率、规模效率和规模报酬状态。结果:2016-2020年,样本医院的平均技术效率、纯技术效率和规模效率分别为0.647、0.680和0.952。其中,213家(48.2%)医院处于规模收益递减状态,54家(12.2%)处于规模收益不变状态,175家(39.6%)处于规模收益递增状态;45家三级医院中,42家(93.3%)处于规模收益递减阶段,而397家二级及以下医院中,226家(56.9%)处于规模收益不变或递增状态。结论:甘肃省公立中医医院医疗资源利用效率相对较低,不同级别中医医院间存在较大差距。ObjectiveTo analyze the efficiency of medical resource utilization in public traditional Chinese medicine(TCM)hospitals in Gansu province from 2016 to 2020,so as to provide decision-making reference.MethodsThe number of in-service staff,actual number of open beds,number of diagnosis and treatment,and number of discharge from TCM hospitals in Gansu province from 2016 to 2020 were extracted,and their technical efficiency,pure technical efficiency,scale efficiency,and returns to scale were analyzed by data envelopment analysis.ResultsFrom 2016 to 2020,the average technical efficiency,pure technical efficiency,and scale efficiency of the sample hospitals were 0.647,0.680,and 0.952,respectively.Among them,213 hospitals(48.2%)were in a decreasing state of returns to scale,54 hospitals(12.2%)were in a constant state of returns to scale,and 175 hospitals(39.6%)were in an increasing state of returns to scale;Out of the 45 tertiary hospitals,42(93.3%)were in the stage of diminishing returns to scale,while 226(56.9%)of 397 secondary and lower hospitals were in a state of constant or increasing returns to scale.ConclusionsThe utilization efficiency of medical resources in public TCM hospitals in Gansu province is relatively low,and there is a significant gap between different levels of TCM hospitals.

关 键 词：医院 公立 中医医院 医疗资源 数据包络分析 效率分析 

分 类 号：R197.4[医药卫生—卫生事业管理]