摘要
目的评价湖南省乡镇卫生院2000～2008年的动态效率。方法采用DEA-Malmquist指数模型,分析湖南省两类共281所乡镇卫生院2000～2008年全要素生产率及其分解项的变化情况。结果该281所样本卫生院中,规模效率提高的卫生院数<50%,而全要素生产率提高、技术提高、整体效率提高和技术效率提高的卫生院数均>50%。进一步分析结果显示,技术提高、整体效率提高是实现全要素生产率改善的最佳途径,技术效率提高、规模效率提高则是实现整体效率改善的最佳途径。结论改善规模效率是中心卫生院发展的关注重点,提高技术是一般卫生院发展的关注重点。
Objective To analyze the dynamic efficiency of township hospitals.Methods Based on the DEA-Malmquist index,this research analyzed the change of the total factor productivity indices and the decomposition items of 281 township hospitals in Hunan province with panel data from 2000 to 2008.Results Among 281 township hospitals,less than half increased their scale efficiency,while more than half increased their total factor productivity,technology,whole efficiency and technical efficiency.Increasing technology and whole efficiency was the best way to improve total factor productivity.Besides,increasing technical efficiency and scale efficiency was the best way to improve whole efficiency.Conclusions The improvement of scale efficiency is key to developing the central township hospitals,while the improvement of technology is the key to developing general township hospitals.
出处
《中国循证医学杂志》
CSCD
2012年第5期532-535,共4页
Chinese Journal of Evidence-based Medicine
基金
"十一五"国家科技支撑/攻关计划
全科型乡镇卫生院技术集成综合示范(编号:2008BA165B06)
