基于DEA-Tobit模型的上海市53家医联体效率评估分析

Analysis on efficiency evaluation of 53 medical alliance in Shanghai based on DEA-Tobit model

[目的]以上海市53家医联体为研究对象,测算医联体虚拟总体效率值与各单体效率值的差异,评估联动效应,为进一步推进区域医联体一体化发展提供参考。[方法]运用数据包络分析(Data Envelopment Analysis,DEA)模型对上海市53家医联体效率结果进行分析。[结果]2019年和2015年综合、技术和规模效率得分为1的医联体分别有6家和8家,其技术效率的差值排序前五的为:嘉定区中医医联体、中山医院-中山青浦分院医联体、徐汇区-中山医院联合体、奉贤区中医医院医疗联合体、瑞金-卢湾区域医疗联合体。[结论]2015-2019年,上海的中医医联体、中山医联体群、瑞金-卢湾医疗联合体的发展较为迅速,医联体建设的整体效率有较大提高。中医医联体处于资源投入的规模报酬递增阶段,医联体建设的“中山探索”取得实效,“瑞金-卢湾”医联体构建全生命周期健康服务体系。

Objective This paper takes 53 medical alliances in Shanghai as the research object,measures the difference between virtual total efficiency value and individual efficiency value of medical alliance and evaluates the linkage effect so as to provide reference for further promoting the integration development of regional medical alliance.Methods Data envelopment analysis(DEA)model was used to analyze the efficiency of 53 medical alliances in Shanghai.Results There were 6 and 8 medical alliances which score of general,technique and scale efficiency was 1 in 2019 and 2015 respectively.The top five difference value of technical efficiency were Jiading district traditional Chinese medicine(TCM)alliance,Zhongshan Hospital-Zhongshan Qingpu Branch medicine alliance,Xuhui district-Zhongshan medicine alliance,Fengxian district traditional Chinese hospital medicine alliance,Ruijin-Luwan district medicine alliance.Conclusions From 2015 to 2019,Shanghai's TCM alliance,Zhongshan alliances,Ruijin-Luwan medical alliance develop rapidly and the overall efficiency of the medical alliance have been greatly improved.TCM alliance is in the stage of increasing returns to scale of resources investment.The Zhongshan exploration of the construction of medical TCM alliance has achieved actual results,and Ruijin Luwan medical alliance has constructed whole life cycle health service system.