我国160家社会办医医院的效率研究

Research on Efficiency of 160 Non-public Hospitals in China

目的:评价我国社会办医医院的技术效率和规模效率,比较不同类型社会办医效率的差异,为社会办医医院改善效率提供参考。方法:系统收集160家社会办医医院2014年人员、设备、资产、医疗服务等投入产出指标,运用DEA的C2R模型和BC2模型计算样本医院的年度总体效率、技术效率和规模效率。结果:在被调查的社会办医医院中,DEA有效的单元有16家,占全部样本医院的10.00%,其中纯技术有效的医院共41家,技术有效率为25.63%,规模有效的20家,规模有效率为12.50%,规模效率递增的43家,规模效率递减的99家。结论:样本社会办医医院整体运行效率不高;社会办医效率绩效低于同级别的公立医院;改善规模是影响社会办医效率的重要因素。

Objective： To evaluate the technical efficiency and scale efficiency of non-public hospitals in China to provide referenees for improving efficiency of non-public hospitals with the comparison with the differences among different non-public hospitals with different types. Methods： Input and output data of 160 non-public hospitals in 2014 were collected; C2R and BC2 models were adopted to evaluate the annual total efficiency, technique efficiency and scale efficiency. Results： There were 16 total efficient hospitals（10.00%）, 41 technical efficiency hospitals（25.63%） and 20 scale efficiency（12.50%）, 43 at IRS stage, 99 at DRS stage. Conclusion： The overall efficiency of non-public hospitals was low relatively and most of them were lower than public hospitals at same level. Scale was an impnrlant factor affecting the efficiency of non-public hospitals.