基于三阶段DEA的浙江省三级公立医院运行效率分析

摘要

Objective To evaluate operating efficiency of 68 Zhejiang Provincial tertiary public hospitals in 2015 and analyze the reason of the efficiency differences among different types of hospitals so as to put forward correspondent policy suggestions.Methods Adopting the three-stage DEA model analysis upon filtering the external influencing factors and random error to the hospital and quantitatively evaluating the comprehensive technical efficiency,pure technical efficiency and scale efficiency of the hospitals.Results The result shows that it is necessary to carry out three-stage DEA model analysis.The mean value of hospital efficiency increases by 0.1,which is higher than before adjustment.Provincial hospitals efficiencies are higher than those of the non-provincial hospitals.Efficiencies of general hospitals are higher than those of the traditional Chinese Medicine(TCM) hospitals and the specialized hospitals.Conclusion Specialized hospitals utilize more resources than the TCM hospitals.The efficiency of provincial hospitals are relatively high,but they are facing the risk of excessive expansion.There is room for efficiency improvement.Prospective policies need to be initiated to make the hospital administrators change their management concept,control the scale of hospital,promote the fine management so as to achieve sustainable development.Furthermore,policies are needed to be adopted to support the development of TCM hospitals.%目的 测算2015年浙江省68家三级公立医院的运行效率,分析不同类型医院之间引起效率差异的原因,并提出政策建议.方法 采用三阶段数据包络分析模型,在过滤掉外部影响因素和随机误差影响的基础上,定量评价医院的综合技术效率、纯技术效率和规模效率.结果 经三阶段数据包络分析,医院综合效率平均值比调整前提高了0.1.省属医院效率值高于非省属医院,综合性医院高于中医医院及专科医院.结论 专科医院资源利用较多,中医医院相对较少;省属医院运行效率较高,但面临过度扩张风险;多数非省属医院有一定的效率改进空间.后续政策应引导医院转变管理理念,控制医院规模,推进精细管理,实现可持续发展.同时,适度支持中医医院发展.