基于DEA的湖北省新医改前后医疗机构投入产出效率分析

摘要

目的:通过分析湖北省2008-2014年面板数据及2014年横截面数据,了解医疗卫生机构投入产出效率现状和新医改前后动态变化,为优化医疗资源配置提出建议.方法:采用文献研究法及数据包络分析方法(DEA)进行分析.结果:2014年湖北省17个市州平均综合效率值为0.86,非DEA有效市州10个,占被评价省市的58.8％.非DEA有效地区的卫生技术人员、床位存在冗余状况.2008-2014年全要素生产率大于1.医疗机构的规模效率变化大于1.结论:部分地区医疗卫生资源规模不足,人员和床位相对过剩,管理与技术等方面相对滞后薄弱.建议适当扩大规模,优化结构,加强医疗机构内部管理.%Objective:With the panel data from 2008 to 2014 and cross-section data of 2014 in Hubei Province,the research aims to know the present situation and dynamic changes of medical institutions' input and output efficiency,and provide some suggestions to perfect health resources.Methods:We analyzed by ways of literature research and data envelopment analysis.Results:The average efficiency value of 17 cities in 2014 was 0.86.The health resources allocation of 10 cities,accounting for 58.8％,were found non-efficient.Non-efficient cities were redundancy in hygienic personnel and beds.Total Factor Productivity from 2008 to 2014 was greater than 1.The change of scale efficiency was greater than 1.Conclusion:The scale of health resources in some cities was inadequate.The personnel and beds were relatively superfluous.The aspects like management and technology were relatively weak.It is advised that we should expand the scale properly,optimize structure and strengthen internal management of medical institutions.