2014年重庆市基本公共卫生服务项目效率分析

Analysis of the efficiency of basic public health services in Chongqing in 2014

目的测算2014年重庆市各区县基本公共卫生服务项目的服务效率,为今后的项目实施提供参考。方法以全市所有区县为评价对象,运用数据包络分析(DEA)对样本区县的综合效率、纯技术效率和规模效率进行测算。结果 2014年重庆市基本公共卫生服务项目综合效率平均值为0.800,纯技术效率平均值为0.890,规模效率平均值为0.899;15个区县DEA有效,20个区县DEA无效;其中11个区县为规模效率递减,9个区县为规模效率递增。结论重庆市基本公共卫生服务项目效率尚待进一步提高,各功能区之间发展不均衡,需要加强资金分配与人才流动的灵活性,提高资源利用效率及产出指标。

Objective To evaluate the efficiency of basic public health services of districts and counties in Chongqing in 2014 and provide reference for project implementation in the future. Methods The data envelopment analysis （DEA） was used to evaluate the comprehensive efficiency, pure technical efficiency, and scale efficiency for all districts and counties in Ghongqing. Results The average comprehensive efficiency, average pure technical efficiency, and average scale efficiency of basic public health services in Chongqing in 2014 were 0. 800, 0. 890, and 0. 899, respectively. Fifteen districts had valid DEA results and 20 districts had invalid DEA results. Of these 20 districts, 11 districts had progressively declined scale efficiency and 9 districts had progressively increased scale efficiency. Conclusion The efficiency of basic public health services in Ghongqing needs to be improved. The development across functional districts is unbalanced. The flexibility of fund distribution and the flow of talent should be reinforced and the efficiency of resource utilization and output indexes need to be improved.