文章摘要
王存慧,王 珩,李念念,赵允伍,尹红燕.基于DEA⁃Tobit模型的县级公立医院运行效率及影响因素[J].南京医科大学学报(社会科学版),2019,(1):45~49
基于DEA⁃Tobit模型的县级公立医院运行效率及影响因素
Study on operational efficiency and influencing factors of county⁃level public hospitals based on DEA⁃Tobit model
投稿时间:2018-10-23  
DOI:10.7655/NYDXBSS20190112
中文关键词: 县级公立医院  运行效率  数据包络分析  Tobit回归模型
英文关键词: county⁃level public hospitals  operational efficiency  data envelopment analysis  Tobit regression model
基金项目:国家自然科学基金项目“基本药物制度下的县级公立医院绩效评价研究”(71473003)
作者单位
王存慧 安徽医科大学卫生管理学院安徽 合肥 230032 
王 珩 安徽医科大学第一附属医院院长办公室安徽 合肥 230022 
李念念 安徽医科大学第一附属医院 科研处安徽 合肥 230022 
赵允伍 安徽医科大学第一附属医院毕业后教育处安徽 合肥 230022 
尹红燕 中国科技大学第一附属医院安徽省立医院人事处安徽 合肥 230001 
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中文摘要:
      采用自制问卷调查我国东部、中部、西部各2所县级公立医院运行情况,对所调查数据进行数据包络分析(data envelopment analysis,DEA),并利用Tobit回归模型分析其影响因素。结果发现,36所样本医院综合效率为0.889,其综合效率、纯技术效率和规模效率的DEA值达到1的数量分别为14所(38.89%)、18所(50.00 %)和14所( 38.89%)。收益规模为递增、递减、不变的数量分别为13所(36.11%)、9所(25.00%)和14所(38.89%)。回归分析结果显示,人均医生门急诊量和实际开放床位数均与医院综合技术效率呈正相关,人均固定资产与其呈负相关。人均医师门急诊量、实际开放床位数与纯技术效率呈正相关,而药品占总收入比值与其呈负相关。医院的综合效率值仍有待提高,部分医院需注重过分扩张带来的负面影响,合理规划床位数、现有资产的使用和医生的工作量,提高医技价值能力。实现医院发展靠医疗技术,而不是药品收入。
英文摘要:
      This study aimed to understand the operational efficiency of county?level public hospitals and its influencing factors. We investigated 12 county?level public hospitals in the eastern, central and western China, respectively. The questionnaires were used to investigate the operation of hospitals. Data envelopment analysis was conducted on the surveyed data. The Tobit regression model was used to analyze the influencing factors. The overall efficiency of the 36 hospitals was 0.889, and the quantities of the overall efficiency, pure technical efficiency and scale efficiency reached DEP of 1 were 14(38.89%), 18(50.00%) and 14(38.89%), respectively. The scale of returns was increasing, diminishing, constant as 13(36.11%), 9(25.00%) and 14(38.89%), respectively. The results of regression analysis showed that both the outpatient and emergency visits per capita and the number of beds actually opened were positively correlated with the overall technical efficiency of hospitals, and the per capita fixed assets were negatively correlated with them. The per capita physician emergency department volume, the actual number of open beds and purely technical efficiency was positively correlated, while the proportion of total income of drugs was negative correlated with it. The overall efficiency of sample hospitals needs to be improved. Some hospitals should pay attention to the negative impact of over-expansion, plan the number of beds rationally, the use of existing assets and the workload of doctors, improve the medical technology and value, and realize the development of hospitals depending on medical technology, not drug revenue.
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