摘要
目的:基于医院数据,对浙江省11个县域医共体的效率进行评估,分析改革前后效率变化,为医共体优化资源配置提供政策建议。方法:收集11个县域医共体相关数据,采用DEA数据分析方法,计算县域医共体运行效率。结果:改革后,各试点县域医共体运行效率均有所增加,不同地区存在差异,县级医院综合运行效率偏低,基层医疗机构技术效率较高。结论:浙江省县域医共体大部分试点运行效率相对低下,优化卫生资源配置,加强基层医疗机构基础建设,改善县级医院管理水平,提高卫生服务产出;部分县域医共体应规避资源整合、规模扩张的风险。
Objective:To evaluate the efficiency of medical communities in 11 counties of Zhejiang Province based on hospital data,analyze the efficiency changes before and after the reform,and provide policy recommendations for optimizing the resources allocation in medical communities.Methods:Data of 11 county medical communities were collected,and the operation efficiency was calculated using DEA data analysis method.Results:After the reform,the operation efficiency of the county medical community in each pilot county has increased,and differences in different regions were noticed.The comprehensive operation efficiency of county hospitals is low,while the technical efficiency of primary healthcare institutions is high.Conclusion:The efficiency of the pilot projects of county-level medical communities in Zhejiang Province is relatively low.Therefore,it is suggested that the allocation of health resources should be optimized,the infrastructure of primary healthcare institutions should be strengthened,the management level of county-level hospitals should be improved and the health services output should be increased.Nevertheless,some county-level medical communities should avoid the risk of resource integration and scale expansion.
作者
魏景明
高奇隆
黄敏卓
董恒进
WEI Jing-ming;GAO Qi-long;HUANG Min-zhuo;DONG Heng-jin(Peking University Sixth Hospital,Beijing 100191,China;Center for Health Policy Studies,Zhejiang University School of Medicine,Hangzhou Zhejiang 310058,China;Sir Run Run Shaw Hospital affiliated with the Zhejiang University School of Medicine,Hangzhou Zhejiang 310020,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2021年第2期23-27,共5页
Chinese Journal of Health Policy
关键词
县域医共体
DEA
运行效率
卫生资源配置
County medical community
DEA
Operation efficiency
Health resources allocation
