温州市公立与民营医院经营效率比较研究

Comparatively Studying on the Operating Efficiency of Public and Private Hospitals in Wenzhou

目的:对民营医院和公立医院经营效率进行比较,探讨民营与公立医院运营效率。方法:运用数据包络分析的Malmquist指数模型对温州市50家民营医院和41家公立医院2010-2013年连续4年的效率变动进行测量分析。结果:民营医院平均生产率变动为1.312,而公立医院为1.015,由于技术变动和规模效率原因,民营医院相对于公立医院更接近生产率前沿。结论:民营医院经营效率高于公立医院的主要原因在于民营医院较高的规模报酬,技术进步及对医院管理的重视,但人才仍是限制民营医院发展的根本。同时,应适当控制公立医院规模,注重市场资源配置作用和提高医院管理水平。

Objective To comparatively study the operating efficiency of public and private hospitals. Methods The operation efficiency of 50 cases of private hospitals and 41 cases of public hospitals in Wenzhou in 4 years was measured by Malmquist index model of data envelopment analysis. Results The average variation rate in private hospitals was 1. 312, while it was 1. 015 in public hospitals. The operation of private hospitals was closer to the productivity frontier than public hospitals for technical change and scale efficiency. Conclusion The higher operation efficiency in private hospitals mainly resulted from their scale of remuneration, technological progress and management. However, shortage of professional talents was still the fundamental limitation to their development. It is suggested to control the scale of public hospitals, value the role of market in resource allocation and improve hos- pital management.