基于三阶段DEA模型的我国脱贫县中医类医院运行效率研究

Research on the Operational Efficiency of Traditional Chinese Medicine Hospitals in Poverty Alleviation Counties in China Based on a Three Stage DEA Model

目的:对2019年脱贫县中医类医院运行效率进行分析,为防止因病返贫、巩固脱贫攻坚成果提供决策依据。方法:以全国22个省份611家脱贫县中医类医院作为研究对象,运用三阶段数据包络分析模型进行分析。结果:运用三阶段数据包络分析模型后,脱贫县中医类医院综合效率值为0.952,技术效率值为0.988,规模效率值为0.962;对比调整前,医院运行效率低的主要原因是低效的规模效率。结论:剔除环境变量和随机干扰因素后,脱贫县中医类医院运行效率真实水平较调整前有所提高,即医院的运行效率易受到外部因素影响,且真实水平容易被低估。对于脱贫县中医类医院发展而言,需要持续加大经济投入,同时要注重医院内涵建设,切实降低外部因素的干扰,有效发挥医院的真实水平。

Objective:To analyze the operational efficiency of traditional Chinese medicine hospitals in poverty-stricken counties in 2019,in order to provide decision-making basis for preventing the return to poverty due to illness and consolidating the achieve⁃ments of poverty alleviation.Methods:Taking 611 Chinese medicine hospitals in poverty alleviation counties in 22 provinces of Chi⁃na as the research object,the three-stage data envelopment analysis model was used for analysis.Results:After using the three-stage data envelopment analysis model,the comprehensive efficiency value of the Chinese medicine hospitals in poverty alleviation county was 0.952,the technical efficiency value was 0.988,and the scale efficiency value was 0.962.Compared with before adjustment,the main reason for the low efficiency of hospital operation was the low efficiency of scale.Conclusion:After removing environmental vari⁃ables and random confounding,the real level of operating efficiency of TCM hospitals in poverty alleviation counties has improved compared with that before adjustment,that is,the operating efficiency of hospitals is vulnerable to external factors,and the real level is easy to be underestimated.For the development of traditional Chinese medicine hospitals in poverty-stricken counties,it is necessary to continuously increase economic investment,while paying attention to the construction of hospital connotation,effectively reducing external interference,and effectively leveraging the true level of the hospital.