基于数据包络分析与Malmquist生产率指数测量的军队三级综合医院全要素生产率分析

目的 测量军队三级综合医院全要素生产率随时间变化的情况,为提高军队医院运营效率提供决策依据和参考。方法 收集军队36所三级综合医院2007年和2010年两年的面板数据(3项投入指标,5项产出指标),应用数据包络分析(DEA)的Malmquist模型进行分析。结果 2007-2010年间28所医院(77.8%)生产率有所提高；进一步分解发现,11所医院(30.6%)生产率提高主要来源于技术进步,2所医院(5.56%)生产率提高主要来源于效率提高,15所医院(41.7%)来源于技术进步和效率提高共同作用。生产效率下降的8所医院全部是由于技术的衰退。结论 军队三级综合医院全要素生产率增长较为显著,其增长贡献主要来源于技术进步和效率提高共同作用,全要素生产率下降主要是技术衰退所致。

DEA- and MPI-based analysis of total factor productivity of high level (Level 3) comprehensive military hospitals

ObjectiveTo measure the changes of total factor productivity of high level(Level 3) comprehensive military hospitals, so as to provide evidence for improving the productivity of these hospitals. MethodsThe 2007 and 2010 panel data of 36 high level military hospitals, including 3 input parameters and 5 output parameters, were collected in the present study.The Malmquist productivity index (MPI)of data envelopment analysis (DEA) was used for analysis. ResultsThe productivity of 28 (77.8%) hospitals was increased during 2007-2010.Further analysis showed that the increased productivity was mainly attributable to technology progress in 11(30.6%)hospitals, to improved efficiency in 2 (5.56%)hospitals, and to both technology progress and improved efficiency in 15(41.7%) hospitals.The 8 hospitals with decreased productivity were all due to technology backwardness. ConclusionThe total factor productivity of high level comprehensive military hospitals has witnessed a noticeable increase, and the increase is mainly attributable to technology progress and improved efficiency.The decrease of productivity is mainly due to technology backwardness.