贵州省卫生医疗机构相对效率评价研究——基于DEA-Malmquist指数法

Study on relative efficiency evaluation of health and medical institutions in Guizhou province:based on DEA-Malmquist index medthod

从静态和动态2个角度分析评价贵州省卫生医疗机构的相对效率,并分析其影响因素。运用DEA模型计算各市(州)2017年的技术效率、纯技术效率、规模效率进行静态分析,并运用Malmquist指数分析法对其2013—2017年的全要素生产率变动进行动态分析。研究表明:贵州省各市(州)医疗卫生机构的相对效率较高,多个市(州)规模效益呈递减趋势,全要素生产率年均下降14.2%。大健康战略实施后,贵州省医疗卫生机构的效率逐渐得到了改善,并在2017年得到一定提升。今后改善的关键是增强技术创新、管理创新和组织创新,并应适当减少有形资源的投入。

The relative efficiency of health care institutions in Guizhou Province was analyzed from the static and dynamic perspectives,and the influencing factors were analyzed.The DEA model was used to calculate the technical efficiency,pure technical efficiency and scale efficiency of 2017 for static analysis,and the Malmquist exponential analysis method was used to analyze the dynamics of total factor productivity in 2013—2017.The result shows that the relative efficiency of medical institutions in various cities(states)in Guizhou Province was relatively high.The economies of scale in multiple cities(states)showed a decreasing trend,and the total factor productivity decreased by 14.2%annually.After the implementation of the“Comprehensive health”Strategy,the efficiency of medical and health institutions in Guizhou Province has gradually improved and Efficiency has improved in 2017.The key to improvement is to enhance technological innovation,management innovation and organizational innovation,and appropriate reductions in resource inputs.