安徽省中医类医院与综合医院运行效率比较研究——基于DEA-Malmquist模型

Comparative Study on Operation Efficiency between TCM Hospitals and General Hospitals in Anhui Province——Based on DEA-Malmquist Model

本文旨在通过DEA-Malmquist模型,分析安徽省中医类医院与综合医院的整体运行效率,进而总结新医改和十八大以来的改革成效,最终提出建设性意见.研究表明,2007—2017年,安徽省医疗服务机构的全要素生产率总体处于上升趋势,中医类医院和综合医院的Malmquist指数分别是1.005和1.014,说明全要素生产率年均提高了0.5%和1.4%.其中,技术效率变动指数均为1,技术变化指数分别是1.005和1.014,说明总体效率提高主要得益于技术进步与创新的推动,并非来源于组织管理水平的提高.整体看来,新医改和十八大以后中医类医院的技术变化指数明显高于综合医院,这说明中医类医院在技术进步或技术创新绩效上相对优于综合医院.

This paper is aim to analyze the overall operation efficiency of TCM hospitals and general hospitals in Anhui province through the DEA-Malmquist model,and further evaluate the effectiveness of medical reform. The study found the total factor productivity of medical service institutions in Anhui province were on the rise from 2007 to 2017,and Malmquist index of TCM hospitals and general hospitals were 1.005 and 1.014 respectively,indicating that total factor productivity has increased by 0.5% and 1.4% on average annually. Meanwhile,the technical efficiency change was 1,and the technical change was 1.005 and 1.014,respectively,indicating that the overall improvement was mainly driven by technological progress rather than organizational management level. On the whole, the technological change of TCM hospitals after the new medical reform and the 18th CPC national congress was obviously higher than that of general hospitals,which indicated TCM hospitals were relatively better than general hospitals in terms of technological progress and innovation.