武汉市公立和民营医院服务效率的比较研究

Comparatively Studying on the Service Efficiency of Public and Private Hospitals in WUhan

目的:了解武汉市公立医院和民营医院服务现状,为合理配置医疗卫生资源,提高医院的服务效率提供参考。方法:通过主成分分析法确定医院服务投入产出指标,运用DEA方法对武汉市29家公立医院和9家民营医院服务效率进行评价。结果:29家公立医院医疗服务综合效率平均值为0.823,综合有效3家,技术效率平均值为0.850,技术有效3家,规模效率平均值为0.966,4家规模有效,18家处于规模递减,7家处于规模递增;9家民营医院综合效率平均值为0.857,综合有效2家,技术效率平均值为0.880,技术有效3家,规模效率平均值为0.973,2家规模有效,3家处于规模递减,4家规模递增。两种性质医院分组比较差异无统计学意义。结论:民营医院医疗服务综合效率优于公立医院。在当前规模下,公立医院应着重提高技术效率,从而实现整体效率的提高;民营医院应该适当扩大规模来提升整体效率。

Objective To study the status of service in public and private hospitals in Wuhan, and provide references for ra- tionally allocating health resources and improving the service efficiency. Methods The hospital＇ s input and output indexes were de- termined by principal component analysis （PCA）. And the service efficiency of 29 cases of public hospitals and 9 cases of private hospitals in Wuhan was evaluated by DEA method. Results For the 29 cases of public hospitals, the mean value of overall efficien- cy was 0. 823, of technical efficiency was 0. 850, and of scale efficiency was 0.966. For the 9 cases of private hospitals, the mean value of overall efficiency was O. 857, of technical efficiency was 0. 880, and of scale efficiency was 0. 973. There had no statisti- cal difference between public and private hospitals. Conclusion The overall efficiency of private hospitals was higher than that of public hospitals. Public hospitals should focus on improving technical efficiency to achieve the overall efficiency. And private hos- pitals should appropriately expand their scale to improve their overall efficiency.