深圳市坪山新区社区健康服务中心运行效率分析

发布时间：2018-06-04 07:20

本文选题：运行效率 + 全要素生产率　；参考：《中国卫生资源》2017年05期

【摘要】：目的 :测算和分析深圳市坪山新区社区健康服务中心(以下简称"社康中心")运行效率,为提高社康中心运行效率提供参考。方法 :采用Bootstrap-DEA方法测算坪山新区21家社康中心2012—2014年社区健康服务效率,使用Malmquist-DEA指数分析社康中心全要素生产率及其分解指数变化趋势。结果 :2012—2014年21家社康中心的效率值经过Bootstrap纠偏后均低于纠偏前;Bootstrap-DEA效率值低于均数的分别有6家、8家、8家,效率值属于"差"(0.600)的社康中心分别有0家、2家、3家。2012—2014年样本社康中心全要素生产率整体呈进步趋势(年增幅9.4%),技术效率整体呈下降趋势(年降幅4.3%),技术进步与全要素生产率变化趋势一致(年增幅14.3%)。结论 :Bootstrap-DEA方法较传统DEA方法提高了效率测算的精度。整体上坪山新区社康中心全要素生产率的提高主要源自技术进步,但技术效率下降。社康中心一方面需要增加高水平的医务人员,激发规模效率;一方面需要开展绩效评价、绩效标杆、跨组织学习,通过提升内部管理,提升纯技术效率。
[Abstract]:Objective: to calculate and analyze the operation efficiency of community health service center in Pingshan New District of Shenzhen City (hereinafter referred to as "Community Health Center"), and to provide reference for improving the operation efficiency of community health center. Methods: the community health service efficiency of 21 community health centers in Pingshan New District from 2012 to 2014 was measured by Bootstrap-DEA method. The total factor productivity and its decomposition index were analyzed by Malmquist-DEA index. Results the efficiency of 21 social health centers in 2012-2014 was lower than that of Bootstrap-DEA after correction by Bootstrap. The total factor productivity (TFP) of social health centers in 2012-2014 samples showed a trend of progress (annual increase of 9. 4% and total technical efficiency decreased by 4. 3% and technological progress) respectively (annual decrease of 4. 3% and technological progress) in the social health centers with the efficiency value belonging to "poor" 0. 600. The total factor productivity of the social health centers showed an overall trend of progress in 2012-2014 (annual increase of 9. 4%). In line with the trend of total factor productivity change (annual increase of 14.3%). Conclusion compared with the traditional DEA method, the accuracy of efficiency measurement is improved by using the weight Bootstrap-DEA method. The overall increase of total factor productivity of social health center in Shangpingshan New area is mainly due to technological progress, but the technical efficiency is declining. On the one hand, the social health center needs to increase the high level of medical personnel to stimulate scale efficiency; on the other hand, it needs to carry out performance evaluation, performance benchmarking, cross-organizational learning, through the promotion of internal management, enhance pure technical efficiency.
【作者单位】：武汉大学健康学院/全球健康研究中心;武汉市疾病预防控制中心业务管理办公室;深圳市坪山区人民医院社康管理中心;深圳市坪山区人民医院医院办公室;
【基金】：第50批教育部留学人员回国科研启动基金(教外司留[2015]1098号)
【分类号】：R197.61

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