nanjing medical university
目的 以A省全部公立医院为研究对象，分析新医改形势下A省公立医院运行效率。方法 收集A省2015-2019年卫生统计报表1-1表，采取数据包络分析方法（DEA）的CCR-BCC模型，以投入为导向，从年份、地区、医院等级、机构类型、隶属关系和医院规模六个层面计算不同属性公立医院技术效率、纯技术效率和规模效率，并用Kruskal-Walis H检验比较差异。结果 2015-2019年，A省公立医院综合效率由0.571增至0.607，纯技术效率有0.659降至0.655，规模效率有0.866增至0.893。2019年，A省经济发展水平中等地区（0.64）、三级医院（0.71）、中医医院（0.72）、县属医院（0.635）、大规模医院（0.75）综合效率较高。?Kruskal-Walis H检验结果显示，不同年份、等级、机构类型、规模间公立医院综合效率具有统计学差异。结论 公立医院改革政策下，A省公立医院运行效率提升不明显，应推动医院提档升级，在提升医院规模的同时，要提升医院技术水平，提高医院管理能力，加强公立医院内涵建设，推动其高质量发展。
Objective: To analyze the operation efficiency of public hospitals in a province under the situation of new medical reform. Methods: Tables 1-1 of health statistical report from 2015 to 2019 in a province were collected. The CCR-BCC model of data envelopment analysis (DEA) was used to calculate the technical efficiency, pure technical efficiency and scale efficiency of public hospitals with different attributes from six aspects of year, region, hospital level, institution type, affiliation and hospital scale. The differences were compared by Kruskal Walis H test. Results From 2015 to 2019, the comprehensive efficiency of public hospitals in a province increased from 0.571 to 0.607, the pure technical efficiency decreased from 0.659 to 0.655, and the scale efficiency increased from 0.866 to 0.893. In 2019, the comprehensive efficiency of medium-sized areas (0.64), tertiary hospitals (0.71), traditional Chinese medicine hospitals (0.72), county hospitals (0.635) and large-scale hospitals (0.75) in a province will be higher. Kruskal walis h test results showed that there were significant differences in the comprehensive efficiency of public hospitals among different years, grades, types of institutions and scales. Conclusion: Under the public hospital reform policy, the improvement of the operation efficiency of public hospitals in a province is not obvious. We should promote the upgrading of hospitals. While improving the scale of hospitals, we should improve the technical level of hospitals, improve the management ability of hospitals, strengthen the connotation construction of public hospitals, and promote their high-quality development.