CAJ | 학술논문

　　目的：基于卫生服务系统的投入产出效率评价指标体系，分析湖南省各市州社区卫生服务系统的效率。方法：采用超效率DEA 模型，利用2011年湖南省14市州国家基本公共卫生服务项目考核评估资料以及卫生统计报表数据进行分析。结果：湖南省各市州社区卫生服务资源没有得到充分利用，各市州运行效率不平衡；1/3的市州出现规模收益递减状况，具体表现在技术效率低于规模效率，人员与机构投入冗余和服务量产出不足并存。结论：提高社区卫生技术人员的基本素质，引导社区机构规模的合理发展，是进一步完善社区卫生服务所需要关注的问题。
　　목적：기우위생복무계통적투입산출효솔평개지표체계，분석호남성각시주사구위생복무계통적효솔。방법：채용초효솔DEA 모형，이용2011년호남성14시주국가기본공공위생복무항목고핵평고자료이급위생통계보표수거진행분석。결과：호남성각시주사구위생복무자원몰유득도충분이용，각시주운행효솔불평형；1/3적시주출현규모수익체감상황，구체표현재기술효솔저우규모효솔，인원여궤구투입용여화복무양산출불족병존。결론：제고사구위생기술인원적기본소질，인도사구궤구규모적합리발전，시진일보완선사구위생복무소수요관주적문제。
Objective: Based on the input-output efficiency evaluation index system of community health service system, analyze the operating efficiency of community health service system in Hunan. Methods:Use the ultra efficiency DEA model to analyze public health service projects and health statistics report data. Results: Community health service resources in Hunan are not fully utilized and the operating efficiency is also unbalanced;decreasing returns to scale occurs in 1/3 cities, which is shown concretely as following: technical efficiency is lower than the scale efficiency and personnel agency input redundancy coexists with service output volume deficiency. Conclusion: Improving the basic quality of community health technical personnel’s and guiding the rational development of community institution scale are the issues need to concern in the process of further perfecting the community health service.