摘要
目的:依托2016年《山东省三级综合医院住院服务绩效分析报告》,对17地市三级医院的卫生资源利用效率进行评价,为提高卫生资源利用效率提供参考依据。方法:运用数据包络法(DEA)的VRS模型进行效率评价。结果:山东省三级综合医院卫生资源利用效率总体偏低,且各地市差异较大;达到DEA有效的地市为日照、临沂,弱有效的地市为济南、济宁、威海、德州,其余11地市均为非DEA有效状态,比例高达64.7%。在非DEA有效的11个地市中,枣庄、莱芜、泰安处于规模报酬递增状态;若达到DEA有效,可节省床位9853张,减少卫生技术人员11411人,床位使用率平均提高23%。结论:山东省应调整卫生资源的配置,提高卫生资源技术效率;控制三级医院运营规模;促进分级诊疗;运用科学的管理方法,降低管理成本。
Objective： To provide reference for improving the operative efficiency of health resource by evaluating the opera- tive efficiency of 50 level III general hospitals in Shandong Province based on Report of Inpatient Service about Level III General Hospitals in Shandong Province. Methods： VRS model of DEA was used to evaluate the efficiency. Results： The overall efficiency of Level III General Hospitals in Shandong Province was in low level and there were significant differences between different regions. The cities of Rizhao,Linyi were evaluated as DEA efficient, the cities of Jinan Jining,Weihai,Dezhou were evaluated as DEA weak efficient,and the rest 11 cities were evaluated as DEA inefficient which were accounted for up to 64.7%. Among these cities, Zaozhuang,Laiwu and Taian shew increased returns to scale. 9853 beds, 11411 health technicians will be reduced and bed utiliza- tion rate will increase by 23% if the operation achieve DEA efficiency. Conclusion： The health resources should be allocated ra- tionally and the technical efficiency of health resources should be improved in Shandong Province, the scale of hospitals should be reasonably controlled; tiered health care system should be implemented effectively, the scientific management methods should be a- dopted to reduce the cost of management.
出处
《医学与社会》
2017年第10期51-53,65,共4页
Medicine and Society
关键词
三级综合医院
数据包络法
效率分析
山东
Level III General Hospital
Data Envelopment Analysis
Efficiency Evaluation
Shandong
