基于COST-DEA指数法对某三甲医院临床病区成本效率分析  

Cost efficiency of clinical wards in a tertiary hospital based on COST-DEA index method

作　　者：章俊龙 郭佳奕 张红怡 何国斌 黄艳红 袁坚列 Zhang Junlong;Guo Jiayi;Zhang Hongyi;He Guobin;Huang Yanhong;Yuan Jianlie(Jinhua Hospital,Zhejiang University School of Medicine,Jinhua 321000,China)

机构地区：[1]浙江大学医学院附属金华医院,浙江金华321000

出　　处：《中国医院统计》2024年第2期129-133,共5页Chinese Journal of Hospital Statistics

基　　金：金华市科学技术研究重点项目(2021-3-100);浙江省医院协会项目(2019ZHA-ZDTQ103)。

摘　　要：目的测量某三甲医院各临床病区的成本效率、技术效率和配置效率,为实现医院高质量发展和精细化管理提供数据参考。方法利用数据包络法中的CCR、BCC和COST-DEA模型,测量该三甲医院各临床病区的相关效率值。结果2019年该三甲医院各临床病区的成本效率均值为0.675,配置效率均值为0.782,技术效率均值为0.853,纯技术效率均值为0.902,规模效率均值为0.944。51个临床病区中,7个处于规模报酬递增状态,占比13.73%;23个处于规模报酬不变状态,占比45.10%;21个处于规模报酬递减状态,占比41.17%。结论该三甲医院各临床病区成本效率主要受到配置效率的影响,需要合理配置医疗资源;部分临床病区需要提高内部精细化管理水平实现产出增加。Objective To measure the cost efficiency,technical efficiency and allocation efficiency of each clinical ward of a tertiary hospital,so as to provide reference for realizing its highquality development and fine management.Methods CCR,BCC and COST-DEA models in data envelopment method were used to measure the relevant efficiency values of clinical wards in the tertiary hospital.Results In 2019,the average cost efficiency of each clinical ward of the tertiary hospital was 0.675,the average allocation efficiency was 0.782,the average technical efficiency was 0.853,the average pure technical efficiency was 0.902,and the average scale efficiency was 0.944;7(13.73%)clinical wards were in the state of increasing returns to scale,23(45.10%)clinical wards were in the state of unchanged returns to scale,and 21(41.17%)clinical wards were in the state of decreasing returns to scale.Conclusion The cost efficiency of clinical wards in the tertiary hospital is mainly affected by the allocation efficiency,which requires reasonable allocation of medical resources.Most clinical wards need to improve the internal fine management level to increase output.

关 键 词：COST-DEA模型 成本效率 临床病区 规模报酬状态 

分 类 号：R197.323[医药卫生—卫生事业管理]