15家省级妇幼保健院的效率特征及变动研究

发布时间：2018-05-08 15:05

  本文选题：省级妇幼保健院 + DEA　； 参考：《中国卫生统计》2017年04期

【摘要】：目的评价我国省级妇幼保健院的效率特征及变动情况,为改善效率提供参考意见。方法系统收集15家省级妇幼保健院2012-2014年人员数量、总诊疗人次等投入-产出指标,运用C~2R-DEA和BC~2-DEA模型计算技术效率和规模效率,利用超效率模型进行效率值排序,再利用Malmquist指数模型分析跨期效率变动情况。结果 2014年5家样本妇幼保健院为DEA有效,无效的10家样本妇幼保健院中3家处于规模报酬递增阶段,7家处于规模报酬递减阶段。2012-2014年,9家样本妇幼保健院的生产率有所改善,6家出现了下降。结论省级样本妇幼保健院规模呈逐年扩大的趋势,并且不同妇幼保健院规模存在较大差距;样本妇幼保健院技术效率整体较高,说明其管理水平、服务能力与规模处于良性运行状态,部分样本妇幼保健院技术效率相对较低,仍存在进一步的改进空间;规模是影响效率的重要因素,应根据当地实际卫生需要适度控制样本妇幼保健院规模;2012-2014年大部分样本妇幼保健院的全要素生产率有所改善,其效率的改善主要源于管理水平和服务能力的改善。
[Abstract]:Objective to evaluate the characteristics and changes of the efficiency of provincial MCH hospitals in China, and to provide reference for improving the efficiency. Methods the input-output indexes of 15 provincial MCH hospitals from 2012 to 2014 were collected systematically. The technical efficiency and scale efficiency were calculated by using C~2R-DEA and BC~2-DEA models, and the efficiency values were ranked by superefficiency model. Then the Malmquist index model is used to analyze the change of intertemporal efficiency. Results five maternal and child health hospitals in 2014 were effective for DEA. Of the 10 samples of maternal and child health care hospitals, 3 were in the stage of increasing returns on a scale and 7 were in the stage of decreasing returns of scale. The productivity of 9 maternal and child health hospitals of 9 samples improved in 2012-2014. Conclusion the scale of provincial sample MCH hospital is increasing year by year, and there is a big gap between different MCH hospitals, and the technical efficiency of MCH hospital is higher than that of MCH hospital, which shows that the management level of MCH hospital is higher than that of MCH hospital. The service capacity and scale are in a benign operating state, some samples of MCH hospitals have relatively low technical efficiency, there is still room for further improvement, and scale is an important factor affecting the efficiency. According to the local actual health needs, we should control the size of the sample MCH hospital appropriately. The total factor productivity of most samples MCH hospitals improved in 2012-2014, and the improvement of its efficiency is mainly due to the improvement of management level and service ability.
【作者单位】： 北京协和医学院公共卫生学院;中国医学科学院卫生政策与管理研究中心;
【基金】：国家卫生和计划生育委员会委托项目(2016) 中央级公益性科研院所基本科研业务费(2013)
【分类号】：O221.1;R197.5
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本文编号：1861878