CAJ | 학술논문

本文利用分类变量的数据包络分析法（DEA with Categorical Vailables）和数据包络分析法的产出导向模型（BCC模型）对我国26个省市的392家城市二级以上医院2004年和2005年的经营效率进行了分析与比较。分类DEA模型的研究结果表明．不同等级医院之间存在效率差异：高等级医院效率反而最低，低等级医院效率反而最高，这个结论与BCC模型得出的结论完全不同。这一结论揭示出我国医院经营中存在的两个制度性问题：一是我国医院等级评审制度的无效性；二是医院在经营过程中存在严重的资源浪费。然而．对于不同地区医院效率的评价，两种模型结果相似：东部地区医院经营效率高于中部和西部地区。
본문이용분류변량적수거포락분석법（DEA with Categorical Vailables）화수거포락분석법적산출도향모형（BCC모형）대아국26개성시적392가성시이급이상의원2004년화2005년적경영효솔진행료분석여비교。분류DEA모형적연구결과표명．불동등급의원지간존재효솔차이：고등급의원효솔반이최저，저등급의원효솔반이최고，저개결론여BCC모형득출적결론완전불동。저일결론게시출아국의원경영중존재적량개제도성문제：일시아국의원등급평심제도적무효성；이시의원재경영과정중존재엄중적자원낭비。연이．대우불동지구의원효솔적평개，량충모형결과상사：동부지구의원경영효솔고우중부화서부지구。
The study analyzes and evaluates 392 urban hospitals in 26 provinces and cities directly under the jurisdiction of central government based on DEA model with categorical variables and BCC model. The paper contrasts the results from two kinds of models and finds that, different levels of hospitals perform differently as to efficiency in the way that hospitals in low level perform much better that those in high level from categorical DEA model. This indicates two important problems in Chinese hospital＇s operation which are ineffectiveness of hospitals accreditation system and serious waste of medical resources. However, the result is totally different from that of BCC model. As to the differences of hospitals in east, central part and west, those two kinds of models come to the same conclusion that hospitals in east outperform than those of the central part and the west.