新型农村合作医疗实施前后乡镇卫生院效率变化的研究

摘要

Objective: To evaluate the efficiency of township hospitals before and after the implementation of the new rural cooperative medical system (NCMS). Methods: Choosing typical input and output index and use them to calculate ihe efficiency from 3 aspects of gross, technical and scale for 24 township hospitals of 9 years by use of DEAP 2.1. Results: The admission and discharge patients raiae significantly after the implementation NCMS, but the effective proportion improvement is not significantly. Conclusion: The NCMS is helpful for preventing rural residents from poverty caused by disease, but it did not improve efficiency of rural hospitals.%目的:研究新型农村合作医疗实施前后,乡镇卫生院效率变化情况.方法:选取具有代表性的投入和产出指标,使用DEAP2.1软件,分析24个乡镇卫生院9年间的综合效率、技术效率和规模效率.结果:新型农村合作医疗实施以后,乡镇卫生院门诊量、出院量和基金补偿额度等大幅增加,而总体效率有效的乡镇卫生院所占比例在42％～71％之间变化;技术效率有效的乡镇卫生院所占比例在67％～71％之间变化;有54.17％的乡镇卫生院规模收益不变.结论:新型农村合作医疗制度的实施,激发了乡镇卫生院的经营活力,提升了基层医疗卫生服务的可及性和可得性,但乡镇卫生院效率变化不明显.