摘要
目的分析2018年全国680家贫困县中医类医院的投入和产出情况,对各省医院的运行效率进行分析,并提出效率改进措施。方法本研究自2019年12月开展,收集2018年全国680家贫困县中医类医院(来自全国22个省)卫生技术人员数、实有床位数、财政补助收入、总支出、总诊疗人次数、出院人数,进行数据包络分析,计算其效率情况。结果贫困县中医类医院以二级医院为主。东中西地区医院数量、投入产出均有较大差异。经数据包络分析,22省中有8个省综合技术效率为1,有10个省纯技术效率为1。在规模效率<1的14个省中,有9个省表现为规模报酬递减,其余5省表现为规模报酬递增。结论各省医院整体运行效率不高,技术效率和规模效率均有待进一步提高。国家应加强对基层卫生人员进行技术培训,采取差异化战略精准扶贫,加大对规模报酬递增地区医院的资金投入,重视提高规模报酬递减地区医院的技术管理水平。
Objective To analyze the input and output of traditional Chinese medicine hospitals in 680 poverty-stricken counties in China in 2018,and to analyze the operating efficiency of hospitals in each province,and to propose efficiency improvement measures.Methods This study was carried out in December 2019.Data envelopment analysis was conducted to calculate the efficiency of 680 traditional Chinese medicine hospitals in poverty-stricken counties in China(from 22 provinces)in 2018 by collecting the number of health technicians,beds available,revenue from financial subsidies,total expenditure,total number of patients,and the number of discharged patients.Results Traditional Chinese medicine hospitals in poverty-stricken counties were mainly secondary hospitals.There were great differences in hospital quantity,input-output between eastern,central and western regions.According to data envelopment analysis,8 of the 22 provinces had comprehensive technical efficiency of 1,and 10 provinces had pure technical efficiency of 1.Among 14 provinces with scale efficiency<1,9 provinces showed decreasing returns to scale,while the other 5 provinces showed increasing returns to scale.Conclusion The overall operating efficiency of provincial hospitals is not high,and the technical efficiency and scale efficiency need to be further improved.The state should strengthen technical training for grass-roots health personnel,adopt differentiated strategies for targeted poverty alleviation,increase investment in hospitals in areas with increasing returns to scale,and pay attention to improving the technical management level of hospitals in areas with decreasing returns to scale.
作者
李媛
蒋艳
董石
徐训航
安垿钊
娄翠迪
程薇
LI Yuan;JIANG Yan;DONG Shi;XU Xunhang;AN Xuzhao;LOU Cuidi;CHENG Wei(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;School of Life Science,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中国医药导报》
CAS
2022年第3期189-192,共4页
China Medical Herald
基金
国家中医药管理局—扶贫项目投入效益评估(BUCM-2019-JS-FW-071)。
关键词
贫困县
中医类医院
数据包络分析
效率评价
Poverty-stricken counties
Traditional Chinese medicine hospitals
Data envelopment analysis
Efficiency evaluation
