摘要
目的测量综合三级医院全要素生产率的变化状况,为提高医院运营效率提供决策依据和参考。方法收集北京市12所三甲医院2007～2009年3年面板数据(4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 3年间样本医院全要素生产率的年平均增长率为33.7%,进一步分解发现:技术进步年均增长率为达到33.4%,技术效率、纯技术效率增长率分别为0.2%,而规模效率没有变化。结论北京地区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,并且不存在技术衰退;为最大限度提高医院生产率,应加强医院内部管理,激发技术效率和规模效率;在医院生产率测量和效率评价研究中,宜吸收患者和公共利益维度的评价指标。
Objective Measure the changes in total factor productivity of grade - three hospitals in Beijing to promote their service efficiency. Method Twelve general hospitals of grade - three in Beijing were measured by Malmquist Index of DEA with four input and five output indicators in the Panel set of 2007 - 2009. Result The average annual TFP growth rate of samples in three years is 33.7%, and further decomposition found that the growth rate of technology change is 33.4%, technical efficiency and pure technical efficiency 0.2% respectively, while the scale efficiency is not change. Conclusion The growth of total factor productivity was significant in grade - three hospitals of Beijing in the year of 2007 ～ 2009 and the technology change made mainly contribution to the growth, and there was no technical recession. For maximizing the productivity of the hospitals, internal man- agement should be strengthened to stimulate technical efficiency and scale efficiency; indicators for patients and public interests should be absorbed in measurement of hospital＇s productivity and efficiency.
出处
《中国卫生质量管理》
2011年第4期56-58,共3页
Chinese Health Quality Management
基金
卫生部委托项目:三级医院评价标准研究
