全国公立二级中医医院规模效益研究

Analysis on the economy of scale in government owned secondary TCM hospital

目的:对2013年全国公立二级中医医院的规模效益进行评价,为优化卫生资源配置提供参考建议。方法:采用数据包络分析法对931所全国公立二级中医医院进行评价,对医院的运行效率、规模收益及床位数进行分析。结果:全国公立二级中医医院规模效率的平均得分要高于纯技术效率得分;从规模收益状态看,全国52.52%的公立二级中医医院处于规模收益递增阶段,其余处于规模收益递减阶段;全国公立二级中医医院整体床位数过剩。结论:公立二级中医医院的规模效率有待调整;床位数过剩是影响二级中医医院规模效益的原因之一。

Objectives:To evaluates the economic scale of government owned second grade TCM hospital and to provide suggestions for optimizing health resources allocation.Methods:This dissertation has adopted super efficiency DEA model to evaluate 931 second grade TCM hospitals in aspects of efficiency,scale effect and beds.Results:The average scores of scale efficiency is higher than the pure technical efficiency scores.From the status of return to scale,52.52% of the TCM hospital is in the stage of increasing return to scale,the rest at the scale of diminishing return to scale.The total beds in second grade hospitals are more than use.Conclusions:The government owned second grade TCM hospital scale efficiency needs to be improved and excess beds is one of the reason influences the efficiency of the scale.