江苏省公立医院基于数据包络法的效率评价

Data envelopment analysis and evaluation of public hospitals in Jiangsu province

目的:对江苏省不同级别公立医院的效率分别进行数据包络法(DEA)评价,为医疗资源合理配置提出科学建议。方法:运用DEA计算技术效率、单纯技术效率、规模效率以及规模收益情况,着重比较不同层级公立医院的效率差异。利用Tobit回归分析技术效率的影响因素。结果:一级、二级公立医院DEA效率偏低且地区分布不均衡,三级公立医院运营效率相对较高。结论:应合理调整医院的资源配置、优化规模,从而提高各级公立医院运营效率。

Objective： By using data envelopment analysis（DEA）, we sought to evaluate public hospitals with different levels in Jiangsu province, and to give scientific suggestions for promoting medical resources rational allocation. Methods： Using DEA, technical efficiency, pure technical efficiency, and scale efficiency were calculated. The emphasis of the analysis was comparing efficiency variance in different levels of public hospitals.Tobit regression was applied to analyze the influencing factors of technical efficiency. Results： Grade 1 and Grade 2 hospitals were inefficient, and the results indicated that efficiency of the two different kinds of the hospitals varied in different regions. However, Grade 3 hospitals were efficient comparatively. Conclusion： The result of the research can be used to reallocate resources and optimize the scale of the hospitals, in order to improve the efficiency of public hospitals with different levels.