基于DEA的重庆市医疗资源配置效率研究

The Study of Medical Resource Allocation Efficiency in Chongqing Based on DEA Method

目的对重庆市医疗资源配置效率进行横向、纵向综合评价,为优化卫生资源配置提供政策建议。方法:运用超效率DEA模型对38个区县的综合效率进行排名,运用VRS模型得出技术效率、规模效率和规模收益状况。结果 2011年,重庆市15个区县为DEA相对有效,9个DEA弱有效,14个DEA无效。综合效率排名前三的依次为渝中区、城口县和潼南县,排名最末的依次为江津区、长寿区、巴南区。DEA纵向评估中,2004-2006三年为DEA弱有效,规模报酬递增。2009、2010年处于DEA无效状态。结论:重庆市医疗资源配置效率存在明显地域差异,大部分区县投入的医疗资源未得到充分利用。

Objective To evaluate the relative efficiency of medical resource allocation in Chongqing, and to provide a basis for the government optimizing health？ resource？ investment structure. Methods The super-efficiency DEA model was used to rank o- verall efficiency of 38 counties. Meanwhile, the VRS model of DEA was utilized to analyze technical efficiency and scale efficiency. Results In the horizontal study, the medical resource allocation was efficient in 15 counties, weakly efficient in 9 counties and non- efficient in 14 counties. In the longitudinal study, the medical resource allocation was weak efficient from 2004 to 2006 and non-ef- ficient from 2009 to 2010. Conclusion There are obvious regional differences of the medical resource allocation efficiency in Chongqing. Medical resources in most counties are underutilized.