發(fā)布時間：2018-05-08 15:05

  本文選題：省級婦幼保健院 + DEA��； 參考：《中國衛(wèi)生統(tǒng)計》2017年04期

【摘要】：目的評價我國省級婦幼保健院的效率特征及變動情況,為改善效率提供參考意見。方法系統(tǒng)收集15家省級婦幼保健院2012-2014年人員數(shù)量、總診療人次等投入-產(chǎn)出指標(biāo),運用C~2R-DEA和BC~2-DEA模型計算技術(shù)效率和規(guī)模效率,利用超效率模型進(jìn)行效率值排序,再利用Malmquist指數(shù)模型分析跨期效率變動情況。結(jié)果 2014年5家樣本婦幼保健院為DEA有效,無效的10家樣本婦幼保健院中3家處于規(guī)模報酬遞增階段,7家處于規(guī)模報酬遞減階段。2012-2014年,9家樣本婦幼保健院的生產(chǎn)率有所改善,6家出現(xiàn)了下降。結(jié)論省級樣本婦幼保健院規(guī)模呈逐年擴(kuò)大的趨勢,并且不同婦幼保健院規(guī)模存在較大差距;樣本婦幼保健院技術(shù)效率整體較高,說明其管理水平、服務(wù)能力與規(guī)模處于良性運行狀態(tài),部分樣本婦幼保健院技術(shù)效率相對較低,仍存在進(jìn)一步的改進(jìn)空間;規(guī)模是影響效率的重要因素,應(yīng)根據(jù)當(dāng)?shù)貙嶋H衛(wèi)生需要適度控制樣本婦幼保健院規(guī)模;2012-2014年大部分樣本婦幼保健院的全要素生產(chǎn)率有所改善,其效率的改善主要源于管理水平和服務(wù)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.
【作者單位】： 北京協(xié)和醫(yī)學(xué)院公共衛(wèi)生學(xué)院;中國醫(yī)學(xué)科學(xué)院衛(wèi)生政策與管理研究中心;
【基金】：國家衛(wèi)生和計劃生育委員會委托項目(2016) 中央級公益性科研院所基本科研業(yè)務(wù)費(2013)
【分類號】：O221.1;R197.5
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本文編號：1861878