基于MPI的71所医院临床医学重点学科效率动态分析

Dynamic analysis on the technical efficiency of leading disciplines for clinical medicine in 71 hospitals based on MPI

运用Malmquist生产率指数,对71个医院临床医学重点学科总体及不同组别(研究所组、中心组)相邻年度之间的效率变化进行分析。结果:整体效率呈恶化趋势,但个体效率恶化程度有所减轻;影响整体效率改善的重点是要素组合效率、规模效率变化率;中心组的效率恶化更明显。提出了要高度重视效率恶化的问题,宏观上要突出中心组,把组合效率、规模效率作为重点内容;微观上要突出效率持续恶化的重点个体,完善个体建设措施;要积极引进新的管理理论和管理方法,开展绩效管理。

The authors made a dynamic analysis on annual technical efficiency of leading disciplines for clinical medicine in 71 hospitals, institutes and central groups by using the Malmquist production index （MPI）. It was showed that the overall efficiency was womening, but the deteriorated level of individual efficiency reduced. To improve the overall efficiency, it would focus on the efficiency of the mix of elements and the change rate of scale efficiency. Deterioration of efficiency in the central group was more obvious. It was concluded that we should attach great importance to the efficiency of aggravation. It was necessary to highlight the central group in the macro level. The combination of efficiency and scale efficiency should be as the key content. It is necessary to highlight the individual with continued deterioration of the efficiency in the micro level and improve the individual-building measures. It was necessary to actively introduce new management theory and management methods, to carry out performance management.