突发公共卫生事件下各省医疗物资供给与医疗服务综合效率评价--基于DEA-RSR模型

Evaluation of the Comprehensive Efficiency of Medical Supplies Supply and Medical Services in All Provinces under Public Health Emergencies--Based on the DEA-RSR Model

文章对2020年新冠疫情下我国31个省份医院服务效率进行综合评价,并进行防疫前后综合效率对比,以帮助各省医疗系统提高弹性,在后疫情时代有效应对突发公共卫生事件。从提高不良输出DMU识别能力的角度,将“数据包络分析法(DEA)”和“秩和比综合比较法(RSR)”相结合,利用DEA和反向DEA模型分别从乐观和悲观的角度计算综合效率,在此基础上采用RSR法进行排序、分档。各省医院综合效率划分为四个等级,其中山东、四川、广东3个省份位于第四等级,青海和西藏位于第一等级;青海和西藏的医院在防疫期间的综合实力还有待加强,部分地区医疗资源出现挤兑,各省应调整医疗资源分配、扩大医疗服务功能。

Comprehensive evaluation of the hospital service efficiency in 31 provinces in China under the COVID-19 epidemic in 2020,and the comprehensive efficiency before and after epidemic prevention was comprehensively compared to help the medical systems of all provinces improve their flexibility and effectively respond to public health emergencies in the post-epidemic era.From the perspective of improving the bad output DMU identification ability,the"data envelope analysis method(DEA)"and the"rank sum ratio comprehensive comparison method(RSR)method"are combined,and the DEA and reverse DEA models are used to calculate the comprehensive efficiency from the optimistic and pessimistic perspectives,respectively.On this basis,the RSR method is used to sort and file.The comprehensive efficiency of provincial hospitals is divided into four grades,among which Shandong,Sichuan and Guangdong have the fourth level and Qinghai and Tibet.Comprehensive strength of hospitals in Qinghai and Tibet needs to be strengthened,and when medical resources run in some regions,all provinces should adjust medical resources distribution and expand medical service function.