基于DEA-Tobit法的广东省公立医院效率及其影响因素研究  

Study on the Efficiency and Influencing Factors of Public Hospitals in Guangdong Province by DEA-Tobit Method

作　　者：赖诗然 谢军慧[1] 徐华[1] LAI Shiran;XIE Junhui;XU Hua(Shenzhen Children's Hospital,Shenzhen,538000,China)

机构地区：[1]深圳市儿童医院,广东深圳538000

出　　处：《中国社会医学杂志》2024年第6期758-762,共5页Chinese Journal of Social Medicine

基　　金：深圳市卫生经济学会科研项目(2024222)。

摘　　要：目的研究2018-2022年广东省21个地市公立医院效率及其影响因素,为进一步提升公立医院效率提供参考。方法使用DEA-BCC与Malmquist法计算效率值,依托Tobit回归模型探讨效率影响因素。结果整体综合技术效率平均值为0.9278,全要素生产率在不同年份间呈现波动状态;平均约54.29%的地市呈现规模效率递减状态,66.7%的地市全要素生产率下降主要受技术要素影响。Tobit回归结果显示,医生人数、房屋面积、人均费用对公立医院效率的影响有统计学意义(P<0.05)。结论不同年份、地区间存在效率差异。加强资源均衡布局、促进技术水平提升、控制医疗机构不合理扩张、减轻患者就医经济负担等有利于促进公立医院效率水平进一步提升。Objective Based on the panel data of public hospitals in Guangdong Province from 2018 to 2022,this paper evaluated the efficiency and its influencing factors to improve the efficiency of public hospitals.Methods The DEA-BCC model and the DEA-Malmquist model were used for analysis of efficiency,and the Tobit regression model was used to analyze the main influencing factors.Results The average value of efficiency of public hospitals in Guangdong was 0.9278,and the total factor productivity fluctuated in different years.54.29%of cities showed decreasing scale efficiency,and 66.7%of cities'total factor productivity decreased mainly due to technical factors.According to the regression results of the Tobit model,the number of doctors,the size of the house and the per capita cost had significant effect on the efficiency(P<0.05).Conclusion There were differences in efficiency among different regions in different years.Allocating resources reasonably,enhancing medical technologies,avoiding the unreasonable expansion of public hospitals,reducing the medical expenses of patients are conducive to further improving the efficiency level.

关 键 词：公立医院 效率 数据包括分析法(DEA) TOBIT回归模型 

分 类 号：R197.323[医药卫生—卫生事业管理]