| 引用本文: |
刘萍,方锐,李萌,周康华,周良荣,余婧萍,朱旭,于文静.基于DEA模型的湖南省中医医疗机构卫生资源配置效率评价[J].湖南中医药大学学报,2022,42(12):2111-2116[点击复制] |
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| 基于DEA模型的湖南省中医医疗机构卫生资源配置效率评价 |
| 刘萍,方锐,李萌,周康华,周良荣,余婧萍,朱旭,于文静 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省中医药研究院, 湖南 长沙 410006;杭州师范大学公共卫生学院, 浙江 杭州 311121) |
| 摘要: |
| 目的 评价2018年湖南省中医医疗机构卫生资源配置的效率,对比省内不同地区各级别中医医疗机构之间的差异,解析其背后的原因并提出优化策略。方法 运用CCR模型与BCC模型对2018年湖南省中医医疗机构的卫生资源配置综合效率、纯技术效率及规模效率进行评价,并对非DEA有效的中医医疗机构进行CCR的松弛变量投影值分析。结果 湖南省中医医疗机构总体效率有效仅为6所,占总体的3.68%,平均综合效率值为0.323,平均纯技术效率值为0.550,平均规模效率值为0.617,64.42%的中医医疗机构规模报酬递减。长株潭地区三级和二级中医医疗机构在综合效率、规模效率值上并不高于非长株潭地区同级中医医疗机构;长株潭地区一级、未定级的中医医疗机构在综合效率与规模效率值上高于非长株潭地区同级中医医疗机构。非DEA有效的中医医疗机构的投影分析结果显示,二级中医医疗机构冗余最多。结论 目前,湖南省中医医疗机构总体效率偏低,对投入资源的利用尚不充分。政府应适当调整投入结构,提高资源投入转化为服务产出的效率;同时需统筹区域卫生规划、更新管理观念、提高医疗技术,重点加强非长株潭地区二级、一级及未定级中医医疗机构的服务体系建设。 |
| 关键词: 卫生资源配置 中医医疗机构 数据包络分析 湖南省 |
| DOI：10.3969/j.issn.1674-070X.2022.12.026 |
| 投稿时间：2022-08-29 |
| 基金项目:湖南省哲学社会科学规划基金办公室湖南省哲学社会科学基金一般项目(21YBA103); 湖南省卫健委委托研究课题重大项目(2020A01);湖南省卫健委委托研究课题重点项目(WTA201901) |
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| Efficiency evaluation of health resource allocation in TCM medical institutions of Hunan Province based on DEA model |
| LIU Ping,FANG Rui,LI Meng,ZHOU Kanghua,ZHOU Liangrong,YU Jingping,ZHU Xu,YU Wenjing |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Academy of Chinese Medicine, Changsha, Hunan 410006, China;School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang 311121, China) |
| Abstract: |
| Objective To evaluate the efficiency of health resource allocation in TCM medical institutions of Hunan Province in 2018, to compare the differences among TCM medical institutions at all levels in different regions of Hunan Province, and to analyze the reasons of differences and propose optimization strategies.Methods The comprehensive efficiency, simple technical efficiency, and scale efficiency of TCM medical institutions of Hunan Province in 2018 were evaluated by CCR and BCC model,and the projection value of slack variable of CCR was analyzed for TCM medical institutions which were not effective in DEA.Results There were totally 6 medical institutions of Hunan Province showing overall efficiency, with the percentage of 3.68%. The average comprehensive efficiency was 0.323, and the average simple technical efficiency was 0.550. The average scale efficiency of TCM medical institutions was 0.617, with 64.42% suggesting decrease. Moreover, the tertiary and secondary TCM medical institutions in Changzhutan region were not higher than the TCM medical institutions at the same level in non-Changzhutan regions in terms of comprehensive efficiency and scale efficiency. However, the primary and undetermined TCM medical institutions in Changzhutan region were higher than the TCM medical institutions at the same level in non-Changzhutan regions in terms of comprehensive efficiency and scale efficiency. The projection analysis for TCM medical institutions that were not effective in DEA indicated that the highest redundancy in the secondary TCM medical institutions.Conclusion At present, the overall efficiency of TCM medical institutions in Hunan Province has been low, and the utilization of investment resource has been insufficient.Therefore, the government were suggested to adjust the investment structure and improve the efficiency of conversing resource investment into service output. It is also necessary to coordinate regional health planning, update management concepts, to improve medical technology, and to focus on strengthening the service system construction of the secondary, primary and undetermined TCM medical institutions in non-Changzhutan regions. |
| Key words: health resource allocation TCM medical institutions data envelope analysis Hunan Province |
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