基于DEA和RSR的我国基层医疗卫生机构服务效率评价

摘要

目的:对我国31个地区基层医疗卫生机构的服务效率进行评价,为提升我国基层卫生机构的服务效率提供科学依据.方法分别选取3个投入指标和3个产出指标,综合应用DEA和RSR法评价我国31个地区的基层医疗卫生机构的服务效率.结果:31个地区的基层医疗卫生机构的综合效率均值是0.774,总体有效省份8个,弱有效7个,无效16个,占总体评价单元的25.806％、22.581％、51.613％.RSR法可将基层医疗卫生机构的服务效率分为四档,其中东部最高,中部次之,西部最低.结论:基层医疗卫生机构服务整体效率不高,且存在地区性差异.应合理配置基层医疗卫生资源,提高整体服务效率,制定科学的区域基层医疗卫生规划,缩小地区性差异.%Objective To evaluate the service efficiency of grass-roots medical and health institutions in 31 regions in China,and provides a scientific basis for improving it.Methods Three input indicators and three output indicators were selected to evaluate the service efficiency of primary health care institutions based on DEA and RSR methods.Results The average overall efficien-cy of primary health care institutions was 0.774.It was effective in 8 provinces,moderate effective in 7 provinces,and invalid in 16 provinces,accounting for 25.806％,22.581％,and 51.613％,respectively.The service efficiency of primary health care institutions can be divided into four levels with RSR method,which was the highest in the eastern,followed by the middle region,and the lowest in the western.Conclusion The overall efficiency of primary health care services was not high,which had regional differences.It is suggested to rationally allocate grass-roots medical and health resources,improve overall service efficiency,formulate a scientific regional primary health care plan,and reduce the regional differences.