基于数据包络分析法的上海市闵行区社区卫生服务机构公共卫生服务效率评价

Efficiency Evaluation of Public Health Services in Community Health Services Institutions of Shanghai Minhang District Based on Data Envelopment Analysis Method

目的评价上海市闵行区社区卫生服务机构公共卫生服务效率,为提高社区卫生服务效率提供参考。方法采用数据包络分析(DEA)法,分别构建慢性病管理、传染病管理、健康教育与健康管理服务模型,对上海市闵行区2014年13家社区卫生服务中心不同类型服务提供效率进行实证研究。结果闵行区有3家(江川、龙柏、七宝)社区卫生服务机构在慢性病管理、传染病管理、健康教育与健康管理方面均达到服务有效状态,有效率为23%。在10家非服务有效状态的社区卫生服务机构中,仅有3家是由单纯规模效率低下引起,其余7家是由纯技术效率和规模效率共同引起。在慢性病管理方面,4家社区卫生服务机构为有效决策单元,有效率为31%;在传染病管理方面,8家社区卫生服务机构为有效决策单元,有效率为62%;在健康教育与健康管理方面,9家社区卫生服务机构为有效决策单元,有效率为69%。结论闵行区社区卫生服务机构公共卫生服务效率有待提高,尤其是慢性病管理方面的服务效率,建议改进管理机制、激励工作人员,使得资源得以充分利用。

Objective To evaluate the efficiency of public health services in community health service institutions of Shanghai Minhang District,and to provide references for improving efficiency of community health services. Methods Models of chronic diseases management, infectious disease control and health education and health management were established respectively by applying data envelopment analysis method. An empirical research of the efficiency of different types of service delivery in 13 community health service centers of Shanghai Minhang District in 2014 was then made. Results 3 community health service centers（ Jiangchuan,Longbai,Qibao） had reached effective status of chronic diseases management,infectious diseases control,health education and health management. The effective rate was 23%. Among the 10 community health service center with ineffective service status,only 3 centers＇ ineffectiveness was merely caused by scale inefficiency,and the rest 7 were caused by purely efficiency of technique and scale. In terms of chronic diseases management,4 community health service centers were effective decision making units with an effective rate of 31%; while for infectious disease control,8 community health service centers were effective decision making units with an effective rate of 62%; concerning health education and health management,9 community health service centers were effective decision making units with an effective rate of 69%. Conclusion The public health service efficiency of community health service institutions in Minhang District needs improving,especially the service efficiency of chronic diseases management. In order to take full advantage of the resources, management improvement mechanism and staff motivation are suggested.