安徽省马鞍山市乡镇卫生院卫生服务效率评价
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江苏省卫健委科研基金项目(2021KF0048)


Evaluation of health service efficiency of township healthcenters in Ma’anshan City of Anhui Province
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    摘要:

    运用数据包络分析法(data envelopment analysis,DEA),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,对马鞍山市样本乡镇卫生院的卫生服务效率情况进行分析。结果显示,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,18家乡镇卫生院处于规模报酬递减状态,4家乡镇卫生院处于规模报酬递增,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,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:

    By using data envelopment analysis(DEA), taking government investment, health technicians and fixed assets as input indicators, annual outpatient and emergency patients, inpatients and public health services as output indicators, and using the CCR model, BCC model and scale efficiency model, this paper analyzed the health service efficiency of sampled township health centers in Ma’anshan city. The results showed that the overall health service efficiency of township health centers in Ma’anshan city was not high, with an average comprehensive efficiency of 0.737, an average pure technical efficiency of 0.881 and an average scale efficiency of 0.837. The DEA of eight township health centers(26.67%)was relatively effective, among which six were in the suburbs of Ma’anshan, and only two were in remote villages and towns. The health efficiency of suburban township health center was significantly higher than that of remote township health centers; In terms of input and output, township health centers in suburban areas were significantly higher than those in remote areas. In terms of scale efficiency, 18 township health centers were in the state of diminishing returns to scale, four in the state of increasing returns to scale, and eight in the state of constant returns to scale. Redundancy in health service investment of township health centers in this city was common. It is suggested to strengthen the improvement of service capacity in order to improve the efficiency of health service resources allocation of township health centers in the city, to rationally allocate health resources so as to avoid extensive expansion, to improve the management level and strengthen the human resources construction of township health centers to achieve connotative high?quality development, and to pay equal attention to medical treatment and prevention in order to jointly improve the service efficiency of township health centers.

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张 毅,黄晓光.安徽省马鞍山市乡镇卫生院卫生服务效率评价[J].南京医科大学学报(社会科学版),2021,(5):479~484

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  • 收稿日期:2021-05-28
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  • 在线发布日期: 2021-11-05
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