摘要
目的分析浙江省级公立医院经济运行状况及其技术效率,为进一步深化公立医院改革提供参考。方法根据浙江省级17家公立医院2013年至2017年数据,运用描述性方法,分析医院经济运行的总体状况;运用随机前沿分析方法(SFA)对医院运行的技术效率及其影响因素进行分析。结果2013年至2017年,浙江省17家省级医院年门急诊人次和出院人数增长率平均为5.2%和9.5%,综合医院门急诊人次和出院人数分别是专科医院的1.8倍和2.5倍,但是门诊服务增长率有所下降。服务效率提高,医疗服务收入结构趋于合理。然而受医院内、外因素的影响,省级医院经济运行存在技术无效率情况。结论应进一步加强省级医院经济运行机制建设,完善省级公立医院经济运行的外部环境,实现医院"做恰当的事"与"恰当做事"的运行目标。
Objective To analyze the economical operation and technical efficiency of Zhejiang provincial hospitals, and give references for deepening public hospitals reform.Methods We compiled data from 17 provincial public hospitals from 2013 to 2017 in Zhejiang, then used descriptive analysis to study hospitalsz operating performance, and used stochastic frontier analysis( SFA) to analyze hospitals;technical efficiency.Results From 2013 to 2017 , the 17 provincial hospitalsz annual growth rate of outpatients and discharges were 5.2% and 9.5%, the number of outpatients and discharges at the general hospitals were 1.8 times and 2.5 times of those in specialized hospitals respectively.In these hospitals, service efficiency had been improved, and the income structure had become more reasonable.However, internal and external factors of the hospitals lowered technical inefficiency in their economic operation.Conclusions The economic operation mechanism of provincial hospitals should be further strengthened, and their external environment be improved as well.Only in this way can the hospitals achieve their operational goal of " doing the right thing and in the right way".
作者
杨永梅
张泽洪
王振宇
池文瑛
Yang Yongmei;Zhang Zehong;Wang Zhenyu;Chi Wenying(Public Health and Management School of Wenzhou Medical University,Wenzhou 325025,China;The Second Affiliated. Hospital of Wenzhou Medical University,Wenzhou 325027,China;President's Office,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2019年第6期519-523,共5页
Chinese Journal of Hospital Administration
基金
国家自然科学基金(71473158)
温州市软科学科研基金(R20180019).
关键词
随机前沿法
省级医院
经济运行
技术效率
浙江省
Stochastic frontier analysis
Provincial hospitals
Economical operating
Technical efficiency
Zhejiang province
