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湖南省281所乡镇卫生院动态效率分析
引用本文:刘英,王小万.湖南省281所乡镇卫生院动态效率分析[J].中华医院管理杂志,2011,27(4).
作者姓名:刘英  王小万
作者单位:1. 北京协和医学院医学信息研究所,100020
2. 中国医学科学院卫生政策与管理研究中心
基金项目:2009年卫生部政策法规司课题
摘    要:目的 评价乡镇卫生院动态效率.方法 采用基于DEA的Malmquist指数模型,以湖南省281所乡镇卫生院2000年~2008年的资料为例,分析其全要素生产率、技术、效率、纯技术效率和规模效率的变化情况.结果 281所样本卫生院投入产出要素均呈现增长趋势;样本卫生院的全要素生产率、效率和纯技术效率均提高;中心卫生院的全要素生产率、技术、效率和纯技术效率均提高,技术提 高幅度大于效率;一般卫生院的全要素生产率、效率和纯技术效率均提高.结论 研究期间,全要素生产率的提高上样本卫生院以效率改进为主;中心卫生院以技术进步为主,一般卫生院以效率改进为主.
Abstract:
Objective To analyze the dynamic efficiency of township health centers. Methods Based on the DEA-Malmquist indices model, this paper analyzed the total factor productivity change indices of 281 township health centers in Hunan province with panel data from 2000 to 2008. These include technological change indices, efficiency change indices, pure technical efficiency change indices and scale efficiency change indices. Results A growth trend is identified with all the input/output factors in all the 281 township health centers; the sample health centers are found with a growth in the total factor productivity, efficiency and pure technical efficiency; the center health centers are found with a growth in the total factor productivity, technology, efficiency and pure technical efficiency, with greater technical improvement than efficiency; health centers at large are found with improvement in total factor productivity, efficiency and pure technical efficiency. Conclusion During the study period, sample health centers were characteristic of improved efficiency in terms of all factor productivity; central health centers characteristic of improvement in technology, while health centers at large are characteristic of improved efficiency.

关 键 词:乡镇卫生院  动态效率  Malmquist指数

Dynamic efficiency analysis based on the DEA-Malmquist index for township health centers in Hunan
LIU Ying,WANG Xiao-wan.Dynamic efficiency analysis based on the DEA-Malmquist index for township health centers in Hunan[J].Chinese Journal of Hospital Administration,2011,27(4).
Authors:LIU Ying  WANG Xiao-wan
Abstract:Objective To analyze the dynamic efficiency of township health centers. Methods Based on the DEA-Malmquist indices model, this paper analyzed the total factor productivity change indices of 281 township health centers in Hunan province with panel data from 2000 to 2008. These include technological change indices, efficiency change indices, pure technical efficiency change indices and scale efficiency change indices. Results A growth trend is identified with all the input/output factors in all the 281 township health centers; the sample health centers are found with a growth in the total factor productivity, efficiency and pure technical efficiency; the center health centers are found with a growth in the total factor productivity, technology, efficiency and pure technical efficiency, with greater technical improvement than efficiency; health centers at large are found with improvement in total factor productivity, efficiency and pure technical efficiency. Conclusion During the study period, sample health centers were characteristic of improved efficiency in terms of all factor productivity; central health centers characteristic of improvement in technology, while health centers at large are characteristic of improved efficiency.
Keywords:Township health centers  Dynamic efficiency  Malmquist index
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