基于三阶段DEA模型的海南省医院运行效率研究  

Study on Hospital Operation Efficiency in Hainan Province based on Three-stage DEA Model

作　　者：农意扬 罗惠文 张新花 NONG Yiyang;LUO Huiwen;ZHANG Xinhua(Humanistic and Social Science School of Guangxi Medical University,Nanning,530021,China;不详)

机构地区：[1]广西医科大学人文社会科学学院,广西南宁530021 [2]广西医科大学信息与管理学院,广西南宁530021

出　　处：《中国社会医学杂志》2024年第5期623-627,共5页Chinese Journal of Social Medicine

基　　金：国家卫生健康委卫生发展研究中心资助项目(03302219011D)。

摘　　要：目的对海南省各地区的医院运行效率进行测算及分解,为进一步提高医院运行效率提供建议。方法通过《海南卫生统计年鉴》等选取海南省18个市县医院相关数据,运用三阶段数据包络分析(data envelopment analysis,DEA)模型剔除环境因素和随机噪声测算各地医院的效率值。结果传统DEA模型测算的海南省各地医院运行效率总体偏高;随机前沿回归结果表明,环境因素对医院运行效率有重要影响;剔除随机噪声的影响后,综合效率、纯技术效率和规模效率的均值分别为0.858、0.923和0.932。结论海南省大部分地区的医院处于技术无效率状态,主要由规模效率降低所导致。因此需要统筹地区发展,合理规划发展规模和优化卫生资源配置,全面提升医院运行效率。Objective To measure and decompose the operating efficiency of hospitals in Hainan Province,and to provide suggestions for further improving the operating efficiency of hospitals.Methods The relevant data of 18 city and county hospitals in Hainan province were selected by Hainan Health Statistical Yearbook,and the efficiency values of hospitals were calculated by using three-stage data enveloping model to eliminate environmental factors and random noise.Results The operating efficiency of hospitals in Hainan province measured by the traditional DEA model was generally high.The results of stochastic frontier regression showed that environmental factors had an important effect on hospital operation efficiency.After removing the influence of random noise,the mean values of comprehensive efficiency,pure technical efficiency and scale efficiency were 0.858,0.923 and 0.932,respectively.Conclusion Hospitals in most areas of Hainan Province are in the state of technical inefficiency,which is mainly caused by the decrease of scale efficiency.Therefore,it is necessary to coordinate regional development,rationally plan the scale of development and optimize the allocation of health resources,and comprehensively improve the operating efficiency of hospitals.

关 键 词：效率 医院 三阶段DEA模型 

分 类 号：R197.322[医药卫生—卫生事业管理]