[1]黄俊杰,吴彦龙,王辉宇,等.“国考”背景下广西三级公立医院运营效率评价研究 ——基于DEA-Malmquist和Tobit模型[J].卫生经济研究,2025,42(02):90-93.
　HUANG Jun-jie,WU Yan-long,WANG Hui-yu,et al.Study on the Evaluation of Operational Efficiency of Tertiary Public Hospitals in Guangxi under the Background of "National Examination" ——Based on DEA-Malmquist and Tobit Models[J].Journal Press of Health Economics Research,2025,42(02):90-93.
点击复制

“国考”背景下广西三级公立医院运营效率评价研究
——基于DEA-Malmquist和Tobit模型
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年02期
页码:
90-93
栏目:
医院管理
出版日期:
2025-02-06

文章信息/Info

Title:
Study on the Evaluation of Operational Efficiency of Tertiary Public Hospitals in Guangxi under the Background of "National Examination"
——Based on DEA-Malmquist and Tobit Models
作者:
黄俊杰1; 吴彦龙2; 王辉宇1; 刘盺雯3; 王巧渝1; 何 晨4; 朱平华1
1.广西医科大学人文社会科学学院，广西 南宁 530021
2.广西医科大学信息与管理学院，广西 南宁 530021
3.柳州市柳铁中心医院，广西 柳州 545007
4.广西工人医院，广西 南宁 530021
Author(s):
HUANG Jun-jie;  WU Yan-long;  WANG Hui-yu;  LIU Xin-wen;  WANG Qiao-yu;  HE Chen;  ZHU Ping-hua
School of Humanities and Social Sciences, Guangxi Medical University, Nanning Guangxi 530021, China
关键词:
三级公立医院; 绩效考核; 运营效率; 广西
Keywords:
tertiary public hospitals;  performance appraisal;  operational efficiency;  Guangxi
分类号:
R19
文献标志码:
A
摘要:
目的：分析广西三级公立医院运营效率，查找“国考”背景下医院运营管理中的问题。方法：基于“国考”运营效率监测指标构建综合评价指标体系，采用DEA-BCC、Malmquist指数模型对指标进行分析，运用Tobit回归模型分析影响公立医院运营效率的主要因素。结果：2020—2022年，广西60家三级公立医院纯技术效率总体保持较高水平；Malmquist指数处于下降状态，技术进步指标是医院运营效率下降的主要影响因素；Tobit回归显示，床位规模、门诊与住院患者人次比、出院患者手术占比、业务支出和年总收入对医院运营效率具有显著影响。结论：广西三级公立医院规模不合理问题突出，资源利用效率有待提升，运营管理情况不容乐观；建议发挥“国考”的导向作用，加快推动医院发展方式向质量效益型转变，调整卫生资源战略布局，积极落实分级诊疗，在控制业务成本费用的同时合理提高人员支出占比，从而提高医院整体运营水平。
Abstract:
Objective To analyze the operational efficiency of the tertiary public hospitals in Guangxi, and to find out the problems in the operational management of the hospitals under the background of "national examination". Methods Based on the monitoring indexes of operational efficiency of "national examination", a comprehensive evaluation index system was constructed. The DEA-BCC and Malmquist index models were used to analyze the static and dynamic indexes. The Tobit regression model was used to analyze the main factors affecting the operational efficiency of public hospitals. Results From 2020 to 2022, the pure technical efficiency of 60 tertiary public hospitals in Guangxi maintained a relatively high level in general. The Malmquist index was in a state of decline, and the technical progress index was the main influencing factor for the decline of hospital operational efficiency. The Tobit regression showed that the size of the beds, the ratio of outpatient and inpatient attendances, the percentage of surgery for discharged patients, the business expenditures and annual total income had a significant impact on the operational efficiency of hospitals. Conclusion The tertiary public hospitals in Guangxi have outstanding problems of unreasonable scale, the efficiency of health resource utilization needs to be improved, and the operational management situation is not optimistic. It is necessary to play the guiding role of "national examination", accelerate the transformation of the development mode of hospitals to the quality and efficiency mode, adjust the strategic layout of health resources, actively implement the hierarchical diagnosis and treatment, and reasonably increase the proportion of personnel expenditure while controlling the business costs, so as to improve the overall operational level of the hospital.

参考文献/References:

[1] 农意扬，张新花，许海东，等.海南省三级公立医院运营效率及其影响因素[J].医学与社会，2024，37（02）：84-89.
[2] 陈鹏宇.线性无量纲化方法对比及反向指标正向化方法[J].运筹与管理，2021，30（10）：95-101.
[3] 高凯丽，王紫红，高山.基于DEA模型的我国中医医院运营效率的综合评价[J].现代预防医学，2022，49（04）：690-694，705.
[4] 景日泽，章湖洋，徐婷婷，等.北京市三级公立医院效率及其影响因素[J].北京大学学报（医学版），2018，50（03）：408-415.

相似文献/References:

[1]熊 冰.基于医改视角的公立医院绩效分配模式研究[J].卫生经济研究,2017,(04):60.
[2]黄 山,夏 聪,谭 剑,等.基于量化的绩效考核模式在美国的应用及其启示[J].卫生经济研究,2017,(07):21.
[3]袁振山,田兆芳,石志青,等.加强基本公共卫生服务项目资金监管的思考[J].卫生经济研究,2017,(11):64.
[4]李舒丹.医院职能部门绩效管理机制研究[J].卫生经济研究,2018,(06):46.
[5]刘 颖.“两个允许”背景下公立医院薪酬体系建设研究[J].卫生经济研究,2018,(10):63.
　LIU Ying.Research on the Construction of Salary System in Public Hospitals under the Background of "Two Permissions"[J].Journal Press of Health Economics Research,2018,(02):63.
[6]李 芬,白 雪,陈 多,等.对整合卫生服务内涵与关键举措的思考[J].卫生经济研究,2019,(03):9.
　LI Fen,BAI Xue,CHEN Duo,et al.Thoughts on the Connotation and Key Measures of Integrating Health Services[J].Journal Press of Health Economics Research,2019,(02):9.
[7]黄亚新,雒 敏.公立医院预算松弛的成因及对策[J].卫生经济研究,2019,(07):30.
　HUANG Ya-xin,LUO Min.Causes and Countermeasures of Budget Relaxation in Public Hospitals[J].Journal Press of Health Economics Research,2019,(02):30.
[8]吴 波,陈 锋,朱鹏立,等.公立三甲医院绩效考核改革的探索与实践[J].卫生经济研究,2020,(03):66.
　WU Bo,CHEN Feng,ZHU Peng-li,et al.Exploration and Practice of the Performance Evaluation Reform of Public Top Three Hospitals[J].Journal Press of Health Economics Research,2020,(02):66.
[9]闫晋洁,王卫红,黄 园,等.三级公立医院预算管理思路探讨[J].卫生经济研究,2020,(04):69.
　YAN Jin-jie,WANG Wei-hong,HUANG Yuan,et al.Discussion on the Budget Management of the III Public Hospitals[J].Journal Press of Health Economics Research,2020,(02):69.
[10]徐 倍.公立医院奖励性绩效工资分配方案的设计与实施[J].卫生经济研究,2020,(08):68.
　XU Bei.Design and Implementation on Reward Distribution of Incentive Performance Salary in Public Hospitals[J].Journal Press of Health Economics Research,2020,(02):68.
[11]赵大仁张挥武曹 勍王志意刘志刚刘 蓓郑思伟梁超杜东洲向祚敏李冰何思长周明华张瑞华7.三级公立医院绩效考核内涵与思考[J].卫生经济研究,2019,(09):33.
　ZHAO Da-ren,ZHANG Hui-wu,CAO Qing,et al.Connotation and Thinking on the Performance Appraisal of Tertiary Public Hospitals[J].Journal Press of Health Economics Research,2019,(02):33.
[12]江蒙喜.“国考”下三级公立医院内部管理策略变革探讨[J].卫生经济研究,2022,39(12):1.
　JIANG Mengxi.Discussion on the Reform of Internal Management Strategy of Tertiary Public Hospitals under the Requirements of National Examination[J].Journal Press of Health Economics Research,2022,39(02):1.
[13]李 方.“国考”视角下三级公立医院运营效率提升研究[J].卫生经济研究,2025,42(05):91.
　LI Fang.Study on Improvement of Operational Efficiency of Tertiary Public Hospitals under the Perspective of "National Examination"[J].Journal Press of Health Economics Research,2025,42(02):91.

更新日期/Last Update: 2025-02-06