摘要： 目的 通过评价马鞍山市各县乡镇卫生院卫生服务效率及卫生服务资源配置中存在的问题，为提高该市乡镇卫生院卫生服务资源配置效率提出建议。方法 运用数据包络分析法以政府投入、卫生技术人员、固定资产作为投入指标，以年度门急诊患者人次、住院患者人次和公共卫生服务人次作为产出指标，使用CCR模型、BCC模型以及规模效率模型，马鞍山市样本乡镇卫生院卫生的服务效率情况进行分析。结果 马鞍山市乡镇卫生院卫生服务效率总体不高，其平均综合效率为0.737，平均纯技术效率为0.881，平均规模效率为0.837；有8家乡镇卫生院DEA相对有效，占26.67%，且6家处于马鞍山近郊，仅2家处于偏远乡镇，近郊乡镇卫生院卫生效率要明显高于偏远乡镇卫生院；在投入与产出方面处于近郊的乡镇卫生院明显高于偏远地区乡镇卫生院；从规模效率方面来看，有18家乡镇卫生院处于规模报酬递减状态，有4家乡镇卫生院处于规模报酬递增，有8家乡镇卫生院处于规模报酬不变，该市乡镇卫生院卫生服务投入方面存在冗余情况较为普遍。建议 加强服务能力提升，以促进市各乡镇卫生院卫生服务资源配置效率提升；合理配置卫生资源，避免粗放式扩张；提高管理水平和加强乡镇卫生院人力资源建设，实现内涵式高质量发展；医防并重，共同提高乡镇卫生院服务效率。
【Abstract】Objective To analyze the health service efficiency and to probe the problems existing in the allocation of health service resources in the township health centers of Maanshan City, and to put forward suggestions for optimizing the allocation efficiency of health service resources in the township health centers of Maanshan City.?Methods Taking government input, health technicians and fixed assets as input indexes, and annual outpatient and emergency patient visits, annual inpatient visits and annual public health service visits as output indexes, data envelopment analysis was used to analyze the health service efficiency of sample township health centers in Maanshan City in 2019. Two basic DEA models (CCR model, BCC model) and scale efficiency model were used. Results The average comprehensive efficiency, the average pure technical efficiency and the average scale efficiency were 0.737, 0.881 and 0.837 respectively.?The DEA of 8 rural health centers is relatively effective, accounting for 26.67%. 6 rural health centers are located in suburban areas, and only 2 rural health centers are located in remote towns, indicating that the health efficiency of rural health centers is significantly higher than that of remote rural health centers.?In terms of input, the rural health centers located in the suburbs had higher input than the rural health centers in the remote areas.?The situation is basically the same in terms of outputs;?From the perspective of scale efficiency, 18 township hospitals are in the state of diminishing return to scale, 4 township hospitals are in the state of increasing return to scale, and 8 township hospitals are in the state of equilibrium return to scale, indicating that there is a common situation of redundancy in the health service input of township hospitals in this city. Advice Strengthen the service capacity to promote the city's township health center health service resource allocation efficiency improvement;?Rational allocation of health resources to avoid extensive expansion;?Improve the management level and strengthen the township health center human resources construction, to achieve the connotative growth;?Pay equal attention to medical treatment and prevention, and jointly improve the service efficiency of township health centers.