摘要
[目的]通过对2005年辽宁省乡镇卫生院运营效率评价与分析,为合理配置与利用卫生资源提供决策参考。[方法]采用数据包络分析(DEA)模型评价辽宁省665所乡镇卫生院运营效率,并利用第2阶段Tobit回归模型分析乡镇卫生院运营效率的影响因素。[结果]总体有效的为50所,占全部卫生院的7.52%;纯技术有效的为82所,占全部卫生院的12.33%;规模有效的为58所,占全部卫生院的8.72%;474所乡镇卫生院处于规模收益递减(DRS)趋势,占规模非有效总体的71.28%;Tobit回归分析结果表明,病床数与乡镇卫生院规模效率值成负相关(P﹤0.05),中高级技术人员比例与乡镇卫生院规模效率值成正相关(P﹤0.05)。[结论]辽宁省多数乡镇卫生院运营效率低,卫生人力素质是影响乡镇卫生院规模效率的关键因素。
[Objective] To evaluate and analyze the township hospital operational efficiency in Liaoning province as a reference ground of decision-making for reasonable configuration and utilization of the health resources. [Methods] The operational efficieney of the 665 township hospitals in Liaoning province was evaluated with data envelopment analysis at the first stage, and the influencing factors of the township hospital operational efficiency was analyzed with the utilization of Tobit regression analysis at the second stage. [ Results] There were 50 township hospitals with comprehensive effective, aeeotmted for 7.52%; 82 township hospitals showed to be pure technical effeetive, accounted for 12.33%; 58 township hospitals were scale effective, accounted for 8.72% ; 474 township hospitals were at the decreasing stage of the scale return as well, accounted for 8.72%; the Tobit regression analysis showed that the number of the patient beds showed positive correlated with scale efficiency Value of the township hospitals （P〈 0.05）, the proportion of both medium and advanced grade technician showed negative correlated with scale efficiency value of the township hospitals （P 〈 0.05）. [Conclusion] Most of the township hospital operational efficiency was low, the quality of health human resource was the key factor that influenced the scale efficieney of the township hospitals.
出处
《现代预防医学》
CAS
北大核心
2008年第22期4387-4389,共3页
Modern Preventive Medicine
关键词
数据包络分析
乡镇卫生院
效率
评价
Data Envelopment Analysis
Township Hospital
Efficiency
Evaluation
