基于DEA-Tobit模型的安徽省三级医院运行效率研究  

Study on Operation Efficiency and Influencing Factors of Tertiary Public General Hospital based on DEA-Tobit Model

作　　者：张洁 冯英培 ZHANG Jie;FENG Yingpei(Department of Supervision,Section One,Anhui Provincial Public Hospital Supervision and Management Center,Hefei 230031,Anhui,China)

机构地区：[1]安徽省省属公立医院监督管理中心监管一科,安徽合肥230031

出　　处：《中国卫生产业》2024年第22期1-4,8,共5页China Health Industry

摘　　要：目的分析安徽省三级公立综合性医院运行效率的影响因素,研究其发展存在的问题和不足。方法采用数据包络分析法(data envelopment analysis,DEA)对安徽省62所三级公立综合性医院进行分析,并使用Tobit回归分析影响其效率的因素。结果医院综合效率平均值为0.905,纯技术效率为0.955,规模效率为0.948,门诊患者人次数、医疗服务收入等因素对效率有明显影响。结论安徽省三级公立综合性医院整体运行效率较高,但医院间效率存在较大差异,各医院应进一步强化精细化管理,致力于优化收支结构配置,不断加强自身内涵建设,提升医疗资源的合理利用。Objective To analyze the influencing factors of the operational efficiency of tertiary public comprehensive hospitals in Anhui Province,and to study the problems and deficiencies in their development.Methods Sixty-two tertiary public general hospitals in Anhui Province were analyzed using data envelopment analysis(DEA),and the factors affecting their efficiency were analyzed using Tobit regression.Results The average value of the hospital's overall efficiency was 0.905,pure technical efficiency was 0.955,scale efficiency was 0.948,and factors such as the number of outpatient visits and revenue from medical services had a significant impact on efficiency.Conclusion The overall operational efficiency of the three-level public comprehensive hospitals in Anhui Province is high,but there are large differences in the efficiency between hospitals,and the hospitals should further strengthen the refined management,commit themselves to optimizing the allocation of revenue and expenditure structure,continuously strengthen their own connotation construction,and enhance the rational use of medical resources.

关 键 词：公立医院 数据包络分析法 运行效率 TOBIT回归模型 

分 类 号：R197.3[医药卫生—卫生事业管理]