[1]马 超,朱 宏,邹俐爱,等.高质量发展视角下广东省公立医院运行效率评价研究 ——基于三阶段DEA模型[J].卫生经济研究,2022,39(6):74-78.
　MA Chao,ZHU Hong,ZOU Liai,et al.Operational Efficiency Evaluation of Public Hospitals in Guangdong Province from the Perspective of High Quality Development——Based on Three-stage Model[J].Journal Press of Health Economics Research,2022,39(6):74-78.
点击复制

高质量发展视角下广东省公立医院运行效率评价研究
——基于三阶段DEA模型
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年6期
页码:
74-78
栏目:
卫生资源
出版日期:
2022-05-26

文章信息/Info

Title:
Operational Efficiency Evaluation of Public Hospitals in Guangdong Province from the Perspective of High Quality Development
——Based on Three-stage Model
作者:
马 超1; 朱 宏2; 3; 邹俐爱2; 3; 张远妮2; 邱 恒2;  姚奕婷2; 3; 邓光璞2; 徐泽宇1; 欧嘉新1; 潘宏伟1; 陈一鸣1
1.南方医科大学卫生管理学院，广东 广州 510515
2.南方医科大学南方医院，广东 广州 510515
3.南方医科大学卫生与健康管理研究院，广东 广州 510515
Author(s):
MA Chao;  ZHU Hong;  ZOU Liai;  ZHANG Yuanni;  QIU Heng;  YAO Yiting;  DENG Guangpu;  XU Zeyu;  OU Jiaxin;  PAN Hongwei;  CHEN Yiming
School of Health Management, Southern Medical University, Guangzhou Guangdong 510515, China
关键词:
公立医院; 高质量发展; 三阶段DEA模型; 运行效率
Keywords:
public hospitals;  high-quality development;  three-stage DEA model;  operational efficiency
分类号:
R19
文献标志码:
A
摘要:
目的：探讨公立医院运行效率及环境因素的影响，为提高公立医院投入产出效率及优化医疗资源配置提供实证依据。方法：运用三阶段DEA模型，评价广东省21个地市613家公立医院综合效率、纯技术效率及规模效率。结果：剔除城镇化率、人均GDP、财政拨款收入、三级公立医院占比等环境因素及随机噪声的影响后，广东省公立医院的综合效率、纯技术效率、规模效率均值分别为0.977、0.989、0.988。结论：广东省公立医院整体运行效率较高，但区域性差异明显，发展不均衡，需要在现有效率优势的基础上，以高质量发展为导向，通过优化外部环境、统筹区域发展等措施，进一步提高运行效率。
Abstract:
Objective To explore the impact of operational efficiency and environmental factors on public hospitals in Guangdong Province in 2019, to provide empirical evidence for improving input-output efficiency of public hospitals and optimizing medical resource allocation, and to facilitate high-quality development of public hospitals. Methods Using three-stage DEA model, the comprehensive efficiency, pure technical efficiency and scale efficiency of 613 public hospitals in 21 cities of Guangdong province were evaluated. Results After excluding the influence of urbanization rate, per capita GDP, fiscal allocation income, proportion of tertiary public hospitals and other environmental factors and random noise, the mean values of comprehensive efficiency, pure technical efficiency and scale efficiency of public hospitals across the province were 0.977, 0.989 and 0.988, respectively, which decreased slightly compared with before adjustment. Conclusions The overall operational efficiency of public hospitals in Guangdong province is high, but the regional differences are obvious and the development is not balanced. Public hospitals need to further improve the operational efficiency by constructing favorable external environment and coordinating regional development on the basis of the existing efficiency advantages and taking high-quality development as the guidance.

参考文献/References:

[1] 中共中央关于制定国民经济和社会发展第十四个五年规划和 二〇三五年远景目标的建议[EB/OL].中国政府网，2021.
[2]郭淑岩，杨婷婷，董四平.我国公立医院成本效率研究进展（2014—2018年）[J].中国卫生政策研究，2020，13（4）：45-51.
[3] Fried H O,Lovell C A K,Schmidt S S,et al.Accounting for environmental effects and statistical noise in data envelopment analysis[J].Journal of Productivity Analysis,2002,17(1-2).
[4] Asmita Chitnis,Mishra Dharmesh K.Performance Efficiency of Indian Private Hospitals Using Data Envelopment Analysis and Super-efficiency DEA[J].Journal of Health Management,2019,21(2).
[5] 续晓方，李文瑾，唐立岷，等. 我国卫生资源配置效率研究——基于三阶段DEA模型[J].卫生经济研究，2021，38（6）：23-27.
[6] 闫昱彤，汪海粟.我国医疗服务业全要素生产率的优化与评价[J].统计与决策，2021，37（7）：63-66.
[7] 李志广，孔爱杰，张婉莹.我国中医类医院运行效率的测度与评价[J].中国卫生资源，2020，23（6）：564-569.
[8] 刘芹，常仁杰，毕怀梅，等.新医改前后广西贫困县人民医院运营效率比较研究[J].医学与社会，2020，33（1）：93-97.
[9] 曹阳，闫岩.健康公平视角下江苏省卫生资源配置效率研究[J]. 卫生经济研究，2016，33（12）：18-21.
[10] 毛燕娜，王小万，冯芮华，等.基于数据包络分析的医院效率评价指标筛选研究[J].卫生经济研究，2015，32（8）：15-19.
[11] 洪朝阳.新时代大型公立医院高质量发展的实践与思考[J]. 卫生经济研究，2021，38（7）：3-7.
[12] 张明，夏家红，刘波，等. “国考”绩效推进委属委管医院高质量发展的实践与思考[J].中国医院管理，2021，41（7）：88-90.

相似文献/References:

[1]王建,王子鸣,何平,等.目标成本法在公立医院基建成本控制中的应用与思考[J].卫生经济研究,2016,(02):61.
[2]谭华伟,颜维华,刘 宪,等.新医改对公立医院补偿机制研究的影响分析[J].卫生经济研究,2016,(04):14.
[3]郑安琪,沈 晓,马宗奎.非营利视角下政府维护公立医院公益性的责任[J].卫生经济研究,2016,(04):18.
[4]史书源,史芮源,田立启.公立医院医务人员薪酬制度改革研究[J].卫生经济研究,2016,(04):21.
[5]赵 云,林艳明.公立医院体制机制与医疗保险付费方式错配的主要形式[J].卫生经济研究,2016,(04):28.
[6]谭华伟,郑万会,张 云,等.公立医院补偿机制改革：典型模式和路径反思[J].卫生经济研究,2016,(05):9.
[7]赵 云,王政乂.公立医院体制机制与医疗保险付费方式适配的主要模式[J].卫生经济研究,2016,(05):22.
[8]赵 云,杨道田.公立医院体制机制与医疗保险付费方式适配模式比较[J].卫生经济研究,2016,(05):25.
[9]周欣悦,骆水娣,郑燕娜.城市优质医疗资源下沉中资金管理问题探究[J].卫生经济研究,2016,(06):26.
[10]邓 萱,熊 鹰,刘勇华,等.政策效果视角下公立医院财务运行分析及建议[J].卫生经济研究,2016,(06):55.
[11]江蒙喜,甘 戈.公立医院高质量发展的要素研究[J].卫生经济研究,2021,38(7):8.
　JIANG Meng-xi,GAN Ge.Research on the Elements of High-quality Development of Public Hospitals[J].Journal Press of Health Economics Research,2021,38(6):8.
[12]黄广成,张远妮,姜 虹,等.公立医院经济运行监测评价指标体系构建 ——基于高质量发展视角[J].卫生经济研究,2022,39(5):63.
　HUANG Guang-cheng,ZHANG Yuan-ni,JIANG Hong,et al.Construction of the Monitoring and Evaluation Index System of Public Hospital Economic Operation——From the Perspective of High-Quality Development[J].Journal Press of Health Economics Research,2022,39(6):63.
[13]杨中浩,徐嘉婕,陈佳颖,等.构建公立医院高质量经济运行评价指标体系的思考[J].卫生经济研究,2022,39(6):79.
　YANG Zhonghao,XU Jiajie,CHEN Jiaying,et al.Thoughts on Evaluation Index System for High-Quality Economic Operation of Public Hospitals[J].Journal Press of Health Economics Research,2022,39(6):79.
[14]刘 悦,黄可歆,帅佩君.三级公立医院多院区高质量发展的三维路径建构[J].卫生经济研究,2022,39(8):73.
　LIU Yue,HUANG Kexin,SHUAI Peijun.Three-Dimensional Path Construction for High-Quality Development of Tertiary Public Hospitals with Multiple Districts[J].Journal Press of Health Economics Research,2022,39(6):73.
[15]项晶晶,高奇隆,朱佳英.基于高质量发展目标的公立医院住院收入结构变动度分析——以某省17家三甲医院为例[J].卫生经济研究,2022,39(9):56.
　XIANG Jingjing,GAO Qilong,ZHU Jiaying.Analysis on the Variation of Inpatient Income Structure in Medical Institutions Based on the High Quality Development Goal of Public Hospitals ——Taking17 Tertiary Hospitals As Examples[J].Journal Press of Health Economics Research,2022,39(6):56.
[16]朱真伟,王 丽.内部审计转型助推公立医院高质量发展的路径探讨[J].卫生经济研究,2022,39(12):84.
　ZHU Zhenwei,WANG Li.Exploring the Path of Internal Audit Transformation to Facilitate Quality Development in Public Hospitals[J].Journal Press of Health Economics Research,2022,39(6):84.
[17]周建军.公立医院高质量发展下财务管理转型与发展的路径研究[J].卫生经济研究,2022,39(12):87.
　ZHOU Jianjun.A Study on the Path of Financial Management Transformation and Development under the High-Quality Development of Public Hospitals[J].Journal Press of Health Economics Research,2022,39(6):87.
[18]蹇思慧,王小翠.高质量发展背景下公立医院内部控制建设研究[J].卫生经济研究,2023,40(3):86.
　JIAN Sihui,WANG Xiaocui.Research on the Internal Control Construction of Public Hospitals under the Background of High-quality Development[J].Journal Press of Health Economics Research,2023,40(6):86.
[19]陈欢欢,甘 戈,黄二丹.公立医院党建工作高质量发展研究[J].卫生经济研究,2023,40(6):68.
　CHEN Huanhuan,GAN Ge,HUANG Erdan.Study on the High-quality Development of Party Building in Public Hospitals[J].Journal Press of Health Economics Research,2023,40(6):68.
[20]杨少春,宋 雄,李 妍,等.基于AGIL模型的公立医院高质量发展路径研究[J].卫生经济研究,2023,40(6):75.
　YANG Shaochun,SONG Xiong,LI Yan,et al.Study on the Pathway of the High-quality Development of Public Hospitals based on AGIL Model[J].Journal Press of Health Economics Research,2023,40(6):75.

更新日期/Last Update: 2022-05-26