摘要
目的:评价广西2009-2013年县级中医医院运营效率,分析其影响因素,为推进中医药事业发展提供参考依据。方法:采用DEA对64家县级中医医院进行效率分析,运用Tobit模型对医院效率进行影响因素分析。结果:2013年综合效率得分在0.0≤Tecrs≤0.5组的医院占43.8%,医院多集中于低分值组;规模报酬递减的医院占医院总数由2009年的46.9%增加为2013年的71.9%;财政补助收入、卫生技术人员等因素与医院效率呈负相关,中药收入、新农合住院补偿比等因素与医院效率呈正相关。结论:应建立完善的投入产出评价机制,优化区域卫生资源配置,提高医院管理水平等。
Objective： To provide reference for promoting development of Chinese medicine by evaluating efficiency of county-level Chinese Medicine hospitals in Guangxi from 2009 to 2013 and analyzing its influencing factors. Methods： DEA was used to measure the efficiency of 64 county-level Chinese Medicine hospitals. Tobit model was used to measure the influencing factors of hospitals＂ efficiency. Results： 43.8% hospitals were more concentrated in the 0.0 ≤ Tecrs ≤ 0.5 group-a low score group. Scale decreasing hospitals accounted for a high percentage of the to-tal number of hospital from 46.9% in 2009 increased to 71.9% in 2013. Financial subsidy revenue, health workers and other factors negatively correlated with hospital efficiency. Chinese medicine income, hospital compensation ratio of New Rural Cooperative Medical and other factors posi-tively correlated with hospital efficiency. Conclusion： The health authorities must establish and improve input-output evaluation mechanisms, op- timize regional health resources, and improve hospital management level.
出处
《医学与社会》
2016年第10期39-42,共4页
Medicine and Society
基金
广西医科大学与广西壮族自治区卫生计生委合作项目
编号为03301214024
关键词
县级中医医院
数据包络分析
TOBIT模型
广西
County-Level Chinese Medicine Hospital
Data Envelopment Analysis
Tobit Model
Guangxi
