基于数据包络分析的黑龙江省三甲综合医院效率评价研究

Evaluation on efficiency of third-grade first-class comprehensive hospitals in Heilongjiang Province based on data envelopment analysis

目的评价黑龙江省2007-2013年三甲综合医院的运行效率和生产率的动态变化,为医院管理者和政策制定者提供管理依据和决策参考。方法采用CCR、BCC模型对2007-2013年样本医院分别进行年度效率横断面分析,并结合Malmquist指数模型进行纵向的动态分析。结果 7年间27家三甲医院一直在扩大自身规模和容纳量,但运行效率反而下降。年均有17.43家医院为总体无效,11.15家医院为纯技术效率无效,17.29家医院为规模无效。2007-2013年27家医院中连续两年全要素生产率下降的医院依次有10家(37.04%)、11家(40.74%)、20家(74.07%)、13家(48.15%)、5家(18.52%)和10家(37.04%)。结论 7年间黑龙江省三甲医院连续处于低效率运行状态。医院应适度调整医院规模,提高卫生资源利用效率,改善医院的运行状况。

Objective To evaluate the dynamic changes of running efficiency and productivity of third-grade first-class comprehensive hospitals in Heilongjiang Province during 2007-2013 so as to provide the management evidence and decision references for the hospitals＇ managers and polieymakers. Methods CCR and BCC models were employed for performing a cross-sectional analysis of annual efficiency of the sample hospitals, and the above-mentioned models combined with the Malmquist index model for assessing the total factor productivity and longitudinal cross-period development. Results The 27 third-grade first-class comprehensive hospitals had been rapidly developing in the capacity and scale during 2007-2013, whereas the hospitals＇ running efficiency was declined. On average, 17.43 hospitals were inefficient, 11.15 pure technically inefficient and 17.29 scale inefficient. Among the 27 hospitals, there were 10 （37.04%） , 11 （40.74%） , 20 （74.07%） , 13 （48.15%） , 5 （18.52%） and 10 （37.04%） hospitals＇ total factor productivity decreased for two consecutive years in 2007-2013. Conclusions The sample hospitals run inefficiently during the 7-year period ; and hence, it is necessary to appropriately adjust the hospitals＇ scale, improve the utilization efficiency of medical resources and promote the running condition of the hospitals.