文章摘要
瞿婷婷,易 沛.我国民营医院的技术效率研究[J].南京医科大学学报(社会科学版),2019,(5):380~383
我国民营医院的技术效率研究
Technical efficiency study of private hospitals in China
投稿时间:2018-11-24  
DOI:10.7655/NYDXBSS20190509
中文关键词: 民营医院  技术效率  医疗质量  市场竞争  DEA⁃Tobit两步法
英文关键词: private hospital  technical efficiency  quality of medical care  market competition  DEA⁃Tobit two⁃step method
基金项目:广东省哲学社会科学“十二五”规划项目“广东省社会医疗保险制度效率研究——基于制度分割与整合的视角”(GD15YYJ04)
作者单位
瞿婷婷 中山大学社会保障研究中心广东 广州 510275 
易 沛 广东金融学院保险学院广东 广州 510521 
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中文摘要:
      采用数据包络—托比特(DEA?Tobit)两步法,实证研究2008—2011年广东省X市所有二、三级医院的技术效率及其影响因素,探讨民营医院与公立医院存在技术效率差异的深层原因。研究发现,给定其他因素不变的条件下,民营医院的DEA技术效率比公立医院高0.263。这是因为与公立医院相比,民营医院的床位、建筑面积等投入要素的增速更低,但门诊诊疗人次等产出增速更高。此外,无论是民营医院还是公立医院,医疗质量、市场竞争均有助于提高医院的技术效率;药占比对医院的技术效率则有负向影响。建议政府应鼓励和发展民营医院,规范和引导市场有序竞争,严格管控药占比,促进医院改善医疗质量。
英文摘要:
      Using DEA?Tobit two?step method, we empirically study 2008—2011 all secondary and tertiary hospitals in City X, Guangdong and also analyse what has driven the differences in technical efficiency between private and public hospitals. We found that, ceteris paribus, private hospitals’ DEA score was 0.263 higher than that of public hospitals. It is due to the fact that compared to public hospitals, input like bed and construction area of private hospitals grew more slowly, but output like outpatient visits increased much faster. In addition, we found that quality of medicalcare and market competition help to enhance the technical efficiency of both private and public hospitals. But, drug share has a negative impact on hospital technical efficiency. We suggest that the government should promote the development of private hospitals,standardize and guide orderly competition in the marketand rigorously control drug share to improve the quality of medical care.
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