摘要
目的对湖北省36家县级妇幼保健院的效率进行分析和评价,研究其发展存在的问题和不足,为提高县级妇幼保健院的效率提供参考。方法采用DEA-BCC模型和DEA-Malmquist模型对县级妇幼保健院的静态效率和动态效率进行分析,并利用Tobit回归分析其效率的影响因素。结果2015-2017年湖北省县级妇幼保健院总体技术效率较低,且内部间存在较大差异,但3年间全要素生产效率逐年递增;医护比、门诊住院比等因素对效率有显著影响。结论县级妇幼保健院有较大的发展空间,管理者应对其进行现代化科学的管理和规划,加强医疗团队建设,减少不必要住院次数,完善医疗资源的合理利用。
Objective To analyze and evaluate the efficiency of 36 county-level maternity and child care hospitals in Hubei Province,study the problems and deficiencies in their development,and provide a reference for improving the efficiency of county-level maternity and child care hospitals.Methods The DEA-BCC model and the DEA-Malmquist model were used to analyze the static and dynamic efficiency of maternal and child health hospitals at the county level,and the influencing factors of their efficiency were analyzed using Tobit regression.Results From 2015 to 2017,the overall technical efficiency of county-level maternal and child health centers in Hubei Province was low,and there were large differences within them.However,the total factor production efficiency increased year by year during the three years.Conclusion The county-level maternal and child health hospital has a large space for development.Managers should carry out modern scientific management and planning,strengthen the construction of medical teams,reduce the number of unnecessary hospitalizations,and improve the rational use of medical resources.
作者
谢子衿
岳靖凯
牛利娜
刘智勇
XIE Zi-Jin;YUE Jing-Kai;NIU Li-Na(Tongji Medical College Medical and Health Management School,Central China University of Science and Technology,Wuhan,Hubei 430030,China)
出处
《中国妇幼保健》
CAS
2020年第7期1172-1175,共4页
Maternal and Child Health Care of China
基金
国家自然科学基金面上项目(7187040263)。
关键词
妇幼保健院
医院效率
数据包络分析
Maternal and child health care hospital
Hospital effectiveness
DEA
