2003年全国县级医院生产率分析

Study on Producytivity Among County-level Hospitals in 2003

目的:对2003年全国31个省(市)的县级医院的基本特征进行描述性分析,并分析东、中、西部地区的差异性,用简单的线性比指标分析医院生产率情况及其原因,用数据包络分析所得的效率得分指标综合评价医院生产率现状,为卫生政策制定者和医院管理者提供决策参考,更好地服务于我国的医院改革。方法:利用2003年全国卫生财务年报资料,用SPSS13.0进行统计分析计算线性比指标,并用数据包络分析方法计算DEA效率得分。结果:2003年全国31个省份中县级医院的生产率水平低下的有11个省份,占35.48%;处于中间水平的有7个省份,占22.58%;效率较高的省份有13个,占41.94%。并且西部地区的县级医院相对效率较高。结论:县级医院的低效率问题普遍存在,政府应加强管理,加大宏观调控力度,提高医院生产率,促进医院更好地发展。

Objective ： To describe the basic characteristic of the county hospitals of 31 provinces （cities） in our country in 2003 and to analysis the differences among the three areas. Based on descriptive analysis of general conditions of hospitals, unidimensional ratios and data envelopment analysis are used to analyze hospital productivity and its reason. It can provide policy options for modifying Chinese hospital financing policies. Methods： Using the annual national health finance reports in 2003, we can obtain the related data, then use SPSS 13.0 to calculate the unidimensional ratios and use data envelopment analysis to get a goal of hospital productivity. Results： In 2003 the whole Country has ll provinces＇ production level of the county hospital lowly, sharing 35.48%. 7 provinces＇ level is in the middle, sharing 22.58%. The efficiency higher province has thirteen. And the county hospitals of the western region the efficiency is relatively higher. Conclusions： The low efficiency problem of the county hospital widespread existence, the government should strengthen management and enlarge the strength of control to raise the county hospitals＇ productivity and to promote a better development of hospital.