| 卫生服务的效率及其测量 |
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| 引用本文： | 邴媛媛,徐凌中,李延鹏. 卫生服务的效率及其测量[J]. 中华医院管理杂志, 2001, 17(5): 272-275 |
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| 作者姓名： | 邴媛媛 徐凌中 李延鹏 |
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| 作者单位： | 1. 山东大学卫生部卫生经济与政策研究重点实验室,济南,250012
2. 山东大学第二医院住院处 |
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| 摘 要： | 效率是卫生服务部分经济学评价的重要原则之一，包括3层含义：技术效率、成本－效果和配置效率，文章阐述了对有关概念的不同理解及各种测量方法。常用以下方法测量技术效率：比率分析法、秩和比法、综合指数法和数据包络分析（DEA）等；用生产函数来测量经济效率；用成本效果分析（CEA）、成本效用分析（CUA）和成本效果分析（CBA）评价成本结果。评价配置效率的指标主要有：医疗和预防服务的比例、基本医疗和非基本医疗服务的比例、卫生总费用的流向等。
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| 关 键 词： | 效率 技术效率 成本结果 配置效率 卫生服务 |
| 修稿时间： | 2001-01-08 |
Efficiency of health services and its measurement |
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| BING Yuanyuan ,XU Lingzhong,LI Yanpeng. Key Laboratory for the Research on Health Economy and Policy,Shandong University,Jinan ,China. Efficiency of health services and its measurement[J]. Chinese Journal of Hospital Administration, 2001, 17(5): 272-275 |
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| Authors: | BING Yuanyuan XU Lingzhong LI Yanpeng. Key Laboratory for the Research on Health Economy Policy Shandong University Jinan China |
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| Affiliation: | BING Yuanyuan *,XU Lingzhong,LI Yanpeng. * Key Laboratory for the Research on Health Economy and Policy,Shandong University,Jinan 250012,China |
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| Abstract: | Efficiency, one of the key principles of economic assessment in the health service sector, has three implications: technical efficiency, cost efficiency and allocation efficiency. The paper gives an account of the various interpretations of some relevant concepts and different assessment methods. The following methods are frequently used to measure technical efficiency: ratio analysis, CPD, comprehensive index, DEA, etc. Economic efficiency is measured by production function while CEA, CUA and CBA are used to assess cost result. The major indexes for assessing allocation efficiency include the proportion between medical and preventive services, the proportion between basic and non basic medical services and the flow direction of total health expenses. |
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| Keywords: | Efficiency Technical efficiency Cost result Allocation efficiency |
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