摘要
目的分析全国中医院技术效率现状,探讨低效率的影响因素,提出针对性建议。方法运用平行数据随机前沿成本模型,分析全国60所中医院的技术效率;运用多元逐步回归分析,探讨低效率的影响因素。结果60所中医院的平均低效率为22.59%,且随东部、中部、西部有低效率增加的趋势;病床使用率、卫生技术人员占全院职工数的比例等5个指标对总成本增加的影响有统计学意义。结论平行数据随机前沿成本模型是评价中医院技术效率的一种较适宜的方法。在对中医院低效率的现状及其影响因素进行分析的基础上,提出加强科学管理、提高资源利用率,减少不必要浪费等建议。
Objective To analyze the present situation of technical efficiency in TCM hospitals throughout the country, discuss the influencing factors causing inefficiency and propose corresponding suggestions. Methods The technical efficiency in 60 TCM hospitals in the country was analyzed using the stochastic frontier cost model for panel data and the influencing factors causing inefficiency were discussed using the multiple stepwise regression method. Results The average technical inefficiency was 22.59% and inefficiency showed an upward trend as the areas shifted from the eastern through the middle to the western regions. Five factors, including the utility rate of beds and the proportion of health technicians among the entire hospital staff, were statistically significant so far as the effect on the increase of the overall cost was concerned. Conclusion The stochastic frontier cost model for panel data is the best method for evaluating the technical efficiency in TCM hospitals. On the basis of the above analysis, suggestions for strengthening scientific management, improving the utility rate of resources and reducing unnecessary waste are put forward.
出处
《中华医院管理杂志》
北大核心
2005年第5期333-336,共4页
Chinese Journal of Hospital Administration
