基于DEA的上海市卫生资源配置效率研究

Study on Health Resources Allocation Efficiency in Shanghai Based on Data Envelopment Analysisy

目的 研究上海市卫生资源配置效率现状,为合理配置卫生资源提供决策依据.方法 用数据包络分析（DEA）方法,选取每万人医生数、每万人床位数和卫生财政支出作为投入指标,门急诊人次、入院人数作为产出指标,对上海市1999年～2011年的卫生资源配置进行分析,探索DEA无效的原因.结果 61.54％的年份DEA有效；规模报酬递增的年份占69.23％；产出不足是非DEA有效的主要原因.结论 上海市整体卫生资源配置效率较好,结构调整、提高产出比规模投入增加更为重要.

Objective To investigate the health resources allocation efficiency in Shanghai, to provide decision basis for the rational allocation of health resources. Method The study selected number of doctors per 10000 persons, number of hospital beds per 10000 persons and health financial spending as input indicators, selected number of outpatients and emergency patients, num- ber of inpatients as output indicators, to analyze health resources allocation efficiency in Shanghai during 1999 -2011, and to ex- plore the reasons for invalid DEA. Result The valid DEA accounted for 61.54% of the years; the increase of scale and reward accounted for 69.23% of the years; and the shortage of the output was the main reason for invalid DEA. Conclusion Health re- sources allocation in Shanghai was effective, structure adjustment and increasing output was more important than increasing the scale.