Page 78 - 南京医科大学学报社会科学版

南
南京医科大学学报（社会科学版）京医科大学学报（社会科学版） 第5期 总第106期
· 484 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2021年10月
Journal

Evaluation of health service efficiency of township health centers in

Ma’anshan City of Anhui Province

1，2
ZHANG Yi ，HUANG Xiaoguang 1
1. School of Health Policy and Management，Nanjing Medical University，Nanjing 211166；2. Outpatient Department，Ma’anshan
Shiqiye Hospital，Ma’anshan 243000，China
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.
Key words：data envelopment analysis；township health centers；health services；efficiency