基于数据包络分析方法的北京市农村基本公共卫生服务项目效率评价

Evaluating the efficiency of basic public health service project in Beijing rural areas based on data envelopment analysis

目的:测算北京市农村基本公共卫生服务项目实施前后的服务效率变化情况,为全国基本公共卫生服务项目的实施提供借鉴和参考。方法:分层随机抽取北京市农村3个区县32个样本乡镇,收集2007至2009年面板数据,运用数据包络分析的方法对静态效率和动态效率进行测算。结果:(1)2007年至2009年间样本乡镇卫生院平均综合效率值为0.972,非有效的乡镇卫生院的投入指标均有不同程度的过剩,产出指标中信息管理、健康宣教和慢病管理产出不足比例超过10%;(2)全要素生产率2007年至2008年度增长8.8%,主要得益于技术进步;2008年至2009年度下降6.6%,但技术效率有3.3%的提高。结论:北京市农村基本公共卫生服务项目的综合效率尚有提高空间,应重点关注规模效率的提高,并注重技术效率和技术进步的共同发展,增加项目产出。

Objective ： To measure the efficiency changes of basic public health service in Beijing rural areas and to provide some suggestions for the basic public health service project throughout China. Methods： In the study, stratified random samples from 32 township health centers （THCs） were measured by data envelopment analysis （DEA） model with the panel data from 2007 to 2009. Results： （1） The average total efficiency score of samples was 0. 972. The TE non-efficient THCs were with excess in all input indicators and insufficient outputs in technology management, health promotion and chronic disease management. （2） The total factor productivity （TFP） from 2007 to 2008 increased 8.8%, which was attributed to technology change. The TFP decreased by 6.6% from 2008 to 2009, but the technical efficiency increased by 3.3%. Conclusion： There is room for improvemrnt in the basic public health service project in Beijing rural areas. Scale efficiency should be improved and the common development of technical efficiency and technology progress promoted in order to increase the project out-nuts.