摘要
目的考察新医改背景下基层医疗机构资源配置效率是否有所提高,探索优化资源配置的方法。方法通过Malquist指数测算全要素生产率并进行分解,BCC模型考察各地相对有效性得出松弛变量。结果全要素生产率提升源自技术效率的提升,无效地区松弛变量多出现在机构数。结论深化医改要在推动技术发展的同时,整合医疗资源,提高管理水平,精简机构数、人员和床位。
Objective To investigate the resource allocation efficiency in primary medical institutions since the new healthcare reform and to explore optimization measures on resource allocation. Method The Malquist index was used to estimate the total factor productivity and decomposition ; the BCC model was used to measure the relative effectiveness in different areas. Result The total factor productivity was enhanced mainly by the technical efficiency improvement. The slack variable in some areas with invalid resources allocation was mainly the agency number. Conclusion To deepen healthcare reform should vigorously promote the development of medical technology, integrate medical resources, improve management level, and streamline the reasonable number of agencies, staff and beds.
出处
《中国卫生质量管理》
2015年第2期106-109,117,共5页
Chinese Health Quality Management