摘要
本文利用数据包络分析(DEA)模型对我国249家城市医院的经营效率进行总体分析与评价,并利用第二阶段Tobit回归模型分析医院经营效率的影响因素。本文通过将医疗品质引入效率评价模型,分析了医疗品质在医院经营效率评价中的作用。本文第一阶段研究结果发现:(1)医疗品质项加入与否直接影响着医院的效率评价;(2)股份制及民营医院的经营效率比其他类型医院的经营效率高,部队医院和事业医院效率较差。第二阶段研究结果表明:病床数、中高级技术人员比例、门诊住院比例、门诊病人治疗有效率、药品收入比例以及门诊人均费用都是影响医院经营效率的重要因素。其中,减轻患者负担、降低药品收入比例、增加中高级医师比例、适当调整医院经营规模、提高治疗病人有效率等都是现阶段提高医院经营效率的有效途径。
the paper evaluates the operation efficiency of 249 hospitals with data envelopment analysis （DEA） and analyzes the factors influencing the efficiency in the second stage with Tobit regression model. The paper introduces the item of medical quality into the efficiency evaluation model and analyzes its role in the evaluation. The first stage study founds ： （ 1 ） medical quality plays an important role in the evaluation of hospital＇s efficiency ; （2） private hospital is the most efficient among four types of hospitals, army hospital ranks the worst, the second worst is career hospital. The study in the second stage shows that six items including beds, the ratio of high level professional staff to the whole etc, are all important factors. At present, lessening the burden of patients,decreasing the ratio of medicine revenue, increasing the ratio of high level doctors, adjusting the operation scale of hospital and increasing the validity of treatment are all valid channels to increase hospital＇s operation efficiency.
出处
《南开经济研究》
CSSCI
北大核心
2006年第4期71-81,共11页
Nankai Economic Studies
