湖南省公立中医医院效率及影响因素研究  

Efficiency and influencing factors of public Chinese medicine hospitals in Hunan province

作　　者：胡耀嘉 胡正东[1] HU Yaojia;HU Zhengdong(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《湖南中医药大学学报》2024年第12期2331-2336,共6页Journal of Hunan University of Chinese Medicine

基　　金：湖南省教育厅科学研究项目(22C0194)。

摘　　要：目的通过对湖南省2021年112个公立中医医院效率及影响因素分析,为湖南省公立中医医院的效率提升提供理论依据,促进湖南省公立中医医院的高质量发展。方法运用DEA-BCC模型测算湖南省公立中医医院效率,并运用Tobit回归模型探讨湖南省公立中医医院效率的影响因素。结果湖南省112个公立中医医院的综合效率、纯技术效率和规模效率均值分别为0.8288、0.8576、0.9650,综合效率值为1的占比为26.79%。全省二级医院综合效率均值高于三级医院,但长沙等4地市三级医院综合效率均值高于二级医院。规模报酬递减医院数占比超50%。卫生技术人员数量、人员经费、固定资产3个因素对湖南公立中医医院综合效率具有统计学意义。结论湖南省公立中医医院效率仍有较大提升空间,技术水平成为制约其效率提升的主要因素,不同地区公立中医医院效率差异较大,且二三级医院间效率不均衡,需进一步优化医疗资源配置,注重内涵式发展,因地制宜,促进湖南公立中医医院的效率提升。Objective To provide a theoretical basis for improving the efficiency of public Chinese medicine hospitals in Hunan province by analyzing the efficiency and influencing factors of 112 public Chinese medicine hospitals in Hunan province in 2021,thereby promoting their high-quality development.Methods The DEA-BCC model was used to calculate the efficiency of the public Chinese medicine hospitals in Hunan province and the Tobit regression model was employed to explore the factors influencing their efficiency.Results The average comprehensive efficiency,pure technical efficiency,and scale efficiency of the 112 public Chinese medicine hospitals were 0.8288,0.8576,and 0.9650,respectively.The proportion of hospitals with a comprehensive efficiency value of 1 was 26.79%.The average comprehensive efficiency of secondary hospitals in this province was higher than that of tertiary hospitals,but the average comprehensive efficiency of tertiary hospitals in four cities including Changsha was higher than that of secondary hospitals.More than 50%of the hospitals experienced decreasing returns to scale.The number of health professionals,personnel expenses,and fixed assets were statistically significant for the comprehensive efficiency of public Chinese medicine hospitals in Hunan province.Conclusion The efficiency of public Chinese medicine hospitals in Hunan province still has significant room for improvement.Technological level has emerged as the main factor restricting the improvement of their efficiency.There are significant differences in efficiency across public Chinese medicine hospitals in different regions,and the efficiency between secondary and tertiary hospitals is unbalanced.Further optimization of medical resource allocation is needed,focusing on connotative development and tailored measures to local conditions,to promote the efficiency improvement of public Chinese medicine hospitals in Hunan province.

关 键 词：公立中医医院 效率 DEA-BCC模型 TOBIT回归模型 影响因素 

分 类 号：R2[医药卫生—中医学]