| 山东省县级公立医院动态效率DEA-Malmquist指数分析 |
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| 引用本文： | 王颖, 孙强, 王海鹏, 孙经杰, 孟庆跃. 山东省县级公立医院动态效率DEA-Malmquist指数分析[J]. 中国公共卫生, 2015, 31(5): 620-623. DOI: 10.11847/zgggws2015-31-05-24 |
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| 作者姓名： | 王颖 孙强 王海鹏 孙经杰 孟庆跃 |
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| 作者单位： | 1.山东大学卫生管理与政策研究中心, 山东 济南 250012;2.山东省卫生信息统计中心;3.北京大学中国卫生发展研究中心 |
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| 摘 要： | 目的评价与解析山东省县级公立医院新医改前后(2006-2012)的效率动态变化情况。方法采用DEA-Malmqusit 指数模型, 分析山东省两类共227所县级公立医院新医改前后全要素生产率及其分解项的变化情况。结果新医改前后, 山东省县级公立医院中, 82.38%(187/227)可以实现全要素生产率提高, 但是主要通过技术进步来实现;59.91%(91/227)的医院技术效率未得到提高, 其中综合医院有52.71%(68/129)的医院纯技术效率提高, 但是规模效率低下, 而县级公立中医院中48.98%(48/98)的医院纯技术效率与规模效率均呈下降趋势。结论大部分医院全要素生产率呈现增长趋势, 但存在过度依赖技术进步的问题;综合医院需适度发展规模以提高规模效率, 中医院则需侧重提高纯技术效率。
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| 关 键 词： | 县级公立医院 DEA-Malmquist指数 动态效率 |
| 收稿时间： | 2014-12-25 |
Dynamic efficiency of county public hospitals in Shandong province: a data envelopment analysis-Malquist index approach |
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| WANG Ying, SUN Qiang, WANG Hai-peng.et al, . Dynamic efficiency of county public hospitals in Shandong province:a data envelopment analysis-Malquist index approach[J]. Chinese Journal of Public Health, 2015, 31(5): 620-623. DOI: 10.11847/zgggws2015-31-05-24 |
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| Authors: | WANG Ying SUN Qiang WANG Hai-peng.et al |
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| Affiliation: | 1.Center for Health Policy and Management, Shandong University, Ji'nan, Shandong Province 250012, China |
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| Abstract: | ObjectiveTo analyze dynamic changes of county public hospitals' efficiency in Shandong province during the period between 2006 and 2012.MethodsThe dynamic changes in total factor productivity(TFP)indice and its decomposition items of 227 county public hospitals in Shandong province before and after the implementation of new health care reform from 2006 through 2012 were analyzed with data envelopment analysis-Malquist index.ResultsAfter the implementation of new health care reform,82.38% of the hospitals showed improvement in TFP mainly because of the technical progress;however 59.91% of hospitals did not improve their technical efficiency;although 52.71% of the general hospitals achieved the improvement in pure technical efficiency,they failed to have the improvement in scale efficiency and 48.98% of the traditional medicine hospitals showed a decreased trend in both pure technical and scale efficiency.ConclusionThe TFP showed an increase trend in the most of the hospitals in Shandong province after the implementation of new health care reform but excessively relied on technical progress,suggesting developments in rational scale for general hospitals and medical technology for traditional Chinese medicine hospitals are warranted for further TFP improvement. |
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| Keywords: | county public hospital data envelopment assay-Malmquist index dynamic efficiency |
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