摘要
目的测算四川省319家公立医院技术效率,并探讨影响医院技术效率的影响因素,为提高医院效率提供参考依据。方法采用数据包络分析方法(data envelopment analysis,DEA)测算医院技术效率,以测算出的总技术效率作为因变量,涉及投入及结构、过程、医疗质量、患者负担、环境及其他方面相关指标作为自变量,采用Tobit回归模型探讨影响因素。结果公立医院总技术效率平均值为0.807,纯技术效率平均值为0.835,规模效率平均值0.968,16.3%的医院DEA技术效率有效,23.5%处于规模收益不变,59.6%规模收益递减,16.9%规模收益递增;技术效率与人均工作量呈正相关,与平均住院日呈负相关;阿坝、甘孜、凉山地区效率较成都平原、丘陵及盆周山区低;二乙医院技术效率较低。结论提高人均工作量,缩短平均住院日可提高医院技术效率,医院所在地经济发达是提高医院效率的有利因素,二乙医院技术效率值较低。
Objective To measure the technical efficiency （TE） of 319 public hospitals in Sichuan province and explore the influencing factors of TE,so as to provide reference for improving hospital TE.Methods Data envelopment analysis was used to measure TE.And then we utilized Tobit regression to explore the influencing factors of TE.The dependent variable we used was total TE,while independent variables were factors which referred to input,input structure,process,medical quality,patients＇ burden,environment and so on.Results The average total TE,pure TE and scale efficiency were 0.807,0.835 and 0.968 respectively.Only about 16.3% hospitals were identified technically efficient,59.6% were in the status of decreasing return to scale and 16.9% were in the status of increasing return to scale.TE had positive relationship with workload per person and negative relationship with average length of stay.Hospitals in Aba,Ganzi and Liangshan were less efficient than those in Chengdu.Hospitals in 2nd level 2nd class had a lower efficiency than the others.Conclusion It is suggested to increase the workload per person and shorten the average length of stay to improve TE.Hospitals located in economically developed areas are more efficient than the others.Hospitals in 2nd level 2nd class are less efficient than the others.
出处
《实用医院临床杂志》
2010年第6期101-104,共4页
Practical Journal of Clinical Medicine
基金
四川省卫生厅科研基金资助项目(编号:080341)
关键词
公立医院
技术效率
数据包络分析
TOBIT回归
影响因素
Public hospital
Technical efficiency
Data envelopment analysis
Tobit regression
Influencing factor
