CAJ | 학술논문

目的：探究公立医院效率的情况及变化，为医院提高运行效率提供建议。方法运用DEA 方法中的 CCR 模型、BCC 模型以及 Malmquist 指数对天津市医院2008~2012年的运行效率进行静态和动态变化研究。结果天津市24家医院总体效率不高，三级医院运行效率比二级医院要好(三级医院总体效率0.900；二级医院总体效率0.828)；二级医院中规模偏大和规模偏小的问题共存；对非 DEA 有效的医院进行管理，可以节省大量的卫生资源。2008~2012年天津市24家医院的全要素生产率总体处于上升趋势，其中三级医院的总体效率提高主要得益于技术进步与创新的推动，二级医院的总体效率提高全部得益于组织管理水平的提高。结论医院应该通过加大引进高水平医学人才的力度，增强科技创新能力，完善和规范医院管理和服务体系建设，优化医院的医疗资源配置，结合医院自身情况选择合适的医院规模等方法来提升公立医院的运行效率。
목적：탐구공립의원효솔적정황급변화，위의원제고운행효솔제공건의。방법운용DEA 방법중적 CCR 모형、BCC 모형이급 Malmquist 지수대천진시의원2008~2012년적운행효솔진행정태화동태변화연구。결과천진시24가의원총체효솔불고，삼급의원운행효솔비이급의원요호(삼급의원총체효솔0.900；이급의원총체효솔0.828)；이급의원중규모편대화규모편소적문제공존；대비 DEA 유효적의원진행관리，가이절성대량적위생자원。2008~2012년천진시24가의원적전요소생산솔총체처우상승추세，기중삼급의원적총체효솔제고주요득익우기술진보여창신적추동，이급의원적총체효솔제고전부득익우조직관리수평적제고。결론의원응해통과가대인진고수평의학인재적력도，증강과기창신능력，완선화규범의원관리화복무체계건설，우화의원적의료자원배치，결합의원자신정황선택합괄적의원규모등방법래제승공립의원적운행효솔。
Objective To probe into the varying efficiency of public hospitals and recommend on efficiency improvement.Methods By means of DEA method including CCR model,BCC model and Malmquist index,to study the static and dynamic changes of operating efficiency of hospitals in Tianjin from 2008 to 2012.Results The overall efficiency of these 24 hospitals is not high,and the efficiency of the tertiary hospitals (0.900)is higher than the second-level hospitals(0.828).There exist problems that the size of the second-level hospitals is either too big or too small,a lot of health resources can be saved by managing the non-DEA efficient hospitals.The trends of the total factor productivity of 24 hospitals in Tianjin from 2008 to 2012 are increased.Thanks to the advanced technology and innovation, the overall efficiency of tertiary hospitals is improved.Through improving organizational management level,the overall efficiency of second-level hospitals is improved.Conclusion Hospital managers should introduce the high-level medical workers,enhance technological innovation,improve and standardize the hospital management and service system,optimize the allocation of medical resources and select the appropriate size of the hospital with the hospital's own situation to improve the operating efficiency of the public hospitals.