Page 87 - 南京医科大学学报社科科学版
P. 87
南
第1期 总第108期 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)
2022年2月 Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences) · 81 ·
Journal
响,选择的指标数量较少,可能不足以反映医院运 省公立医院和民营医院运营效率研究[J]. 现代预防医
行全貌,未来课题组将尝试变换投入产出指标以构 学,2019,46(21):3920-3924
建多种模型再进行效率评价。 [9] 张榆,彭琰. 基于DEA⁃Malmquist指数的云南省县级综
合医院运行效率评价[J]. 医学与社会,2020,33(9):
参考文献
81-86,115
[1] 蒋海泥,王留明,程龙,等. 新常态下公立医院改革发展 [10] 于洗河,降海蕊,张景茹,等. 吉林省县级公立医院运
行效率评价:基于 DEA⁃Malmquist 指数模型[J]. 中国
挑战及其对策[J]. 中国医院管理,2018,38(5):13-15
[2] 洪朝阳. 新时代大型公立医院高质量发展的实践与思 卫生经济,2021,40(12):87-90
[11] 魏景明,高奇隆,黄敏卓,等. 基于 DEA 模型的浙江省
考[J]. 卫生经济研究,2021,38(7):3-7
[3] 国务院办公厅. 国务院办公厅关于推动公立医院高质量 县域医共体运行效率研究[J]. 中国卫生政策研究,
发展的意见[EB/OL].[2021-12-01]. http://www.gov. 2021,14(2):23-27
[12] 张毅,黄晓光. 安徽省马鞍山市乡镇卫生院卫生服务
cn/zhengce/content/2021-06/04/content_5615473.htm
[4] 任海燕,丁兆罡,宋瑰琦,等. 基于 DEA 的社区医疗卫 效率评价[J]. 南京医科大学学报(社会科学版),2021,
生服务机构运营效率评价[J]. 合肥工业大学学报(自 21(5):479-484
[13] 方鹏骞,李昕昀.“十四五”期间我国医院的发展战略
然科学版),2018,41(12):1710-1715
[5] 陈岩,刘新靓,董四平,等. 我国省域医疗服务的全要 与重点方向[J]. 中国医院管理,2021,41(3):6-10
素生产率[J]. 中国卫生资源,2020,23(2):122-129 [14] 林凯,袁波英,孟雪晖. 基于三阶段DEA的浙江省三级
[6] 景日泽,张鲁豫,章湖洋,等. 北京市公立医院与民营 公立医院运行效率分析[J]. 中国医院管理,2017,37
医院效率比较分析——基于 DEA 模型[J]. 卫生经济 (11):34-36
研究,2018(6):22-25 [15] 周魅,赵绍阳,付明卫. 公立医院规模扩张与过度医疗
[7] 曾雁冰,蔡伦,孙卫,等. 基于 DEA 模型分析我国公立 ——来自医院等级变化的证据[J]. 经济科学,2021
医院运行效率[J]. 中国卫生统计,2018,35(1):47-51 (1):109-121
[8] 刘松,张慧,陈琳,等. 基于DEA⁃Malmquist指数的广东 (本文编辑:姜 鑫)
Evaluation of operational efficiency of Anhui provincial hospitals
based on DEA and Malmquist index
SUO Baili,YANG Jinxia,HONG Mengyuan,LEI Tao
School of Health Management,Anhui Medical University,Hefei 230032,China
Abstract:Based on the BCC model of data envelopment analysis(DEA)and the Malmquist index method,
this paper analyzed the operational efficiency and changes of 12 provincial hospitals in Anhui Province from
2015 to 2019 to provide a decision basis for promoting the high⁃quality development of provincial hospitals in
Anhui Province during the 14th Five⁃Year Plan period. The results showed that the overall efficiency values of
provincial hospitals in 2019 ranged from 0.686 to 1.000,with an average overall efficiency value of 0.906,of
which the average technical efficiency value was 0.959 and the average scale efficiency value was 0.945. Six
hospitals were DEA effective,and all non⁃DEA effective hospitals had input redundancy. From 2015 to 2019,
the average value of total factor productivity of provincial hospitals was 0.981,among which the pure technical
efficiency change index increased by 0.5% ,the scale efficiency change index decreased by 1.2% ,and the
technical change index turned from decline to rise after 2017. The overall operation of Anhui provincial
hospitals was relatively stable from 2015 to 2019. The pure technical efficiency increased significantly. The
technical level improved. The low scale efficiency restricted the development of hospitals. There were
differences in the operational efficiency between hospitals. It is suggested that provincial hospitals should
change their development mode,allocate medical resources rationally,focus on improving the level of hospital
refinement management,and improve the efficiency of resource utilization during the 14th Five ⁃ Year Plan
period,so as to achieve the improvement of hospital operation efficiency.
Key words:provincial hospitals;operational efficiency;data envelopment analysis;Malmquist index