摘要
目的测度区域内三级综合公立医院运行效率跨期变动。方法基于文献研究确定医院效率评价的投入产出指标,利用Bootstrap-Malmquist模型测算2014—2017年山西省31家三级综合公立医院效率指数及其经验分布。结果 4年间样本医院全要素生产率平均增长了10.7%,技术效率平均下降了2.9%,技术进步平均增长了14%。经Bootstrap-DEA方法修正后的效率值均有所降低,且大部分效率指数变化不显著。结论 Bootstrap-Malmquist模型在测量动态效率指数时可以通过置信区间判断其显著性,方法更加适用于区域内医疗机构的动态效率评价。
Objective To estimate cross-period changes of operational efficiency of tertiary general hospitals.Methods Based on the literature research,the input-output indices were determined,and Bootstrap-Malmquist model was used to measure the efficiency index of 31 tertiary general hospitals and its empirical distribution in Shanxi from 2014 to 2017.Results During the four-year period,TFP of the sample hospitals improved with an average of 10.7%,TEC dropped by an average of 2.9%,and TP increased by an average of 14%.The corrected efficiency values all reduced,and most indices didn’t change significantly.Conclusion Bootstrap-Malmquist provides confidence interval of each efficiency estimate when measuring dynamic efficiency index to judge its significance.This method is more applicable to dynamic efficiency evaluation of medical institutions in the region.
作者
江恬雨
陶红兵
路伟
黄亦恬
施楠
林小军
JIANG Tian-yu;TAO Hong-bing;LU Wei(School of Medicine and Health Management,Tongji Medical College,Huazhong Universi.ty of Science&Technology,Wuhan,Hubei,430030,China)
出处
《中国医院管理》
北大核心
2019年第2期34-36,共3页
Chinese Hospital Management
基金
国家自然科学基金资助项目(71774061)
