天津公立医院效率分析

The Analysis of Efficiency for Public Hospitals in Tianjin

公立医院效率是衡量公立医院资源配置合理性以及管理运营水平的重要尺度。研究以天津市公立医院为研究对象,选取29家样本医院,为消除样本的异质性对结果的影响,运用共同前沿面技术对二级和三级医院的技术效率和技术缺口进行了分析,同时通过Tobit回归分析了分析市场环境和投入结构因素对效率的影响。结果表明:二级医院和三级医院的技术缺口并无显著差异,但研究发现,医院类别、医院级别、14岁以下和65岁以上辖区总人口的比例等环境因素对公立医院的效率都有显著影响;三级和二级医院的改革管理水平都呈两极分化,并不均衡。

Efficiency is essentially an evaluation measure of public resource deployment decisions and management performance for public hospital sector.The study presents an empirical analysis of best practice frontier for a sample 29 public hospitals in Tianjin by applying Date Envelopment Analysis and a Tobit regression model.Evidence from meta-frontier analysis reveals that there is no reason to believe that the two type of hospital(grade Ⅱ hospitals and grade Ⅲhospitals)have different technologies;but exists a large range of efficiency score within both types of public hospital.Analysis the environmental factors affecting the efficiency of public hospitals through the Tobit regression.