中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
Chinese Journal of Hospital Administration
2015年
10期
747-750
,共4页
朱丽丽%尹文强%陈钟鸣%崔雪丹%魏艳%范海平%管晖%郑骥飞%贾海艺
硃麗麗%尹文彊%陳鐘鳴%崔雪丹%魏豔%範海平%管暉%鄭驥飛%賈海藝
주려려%윤문강%진종명%최설단%위염%범해평%관휘%정기비%가해예
基本药物制度%乡镇卫生院%数据包络分析%医疗服务%效率
基本藥物製度%鄉鎮衛生院%數據包絡分析%醫療服務%效率
기본약물제도%향진위생원%수거포락분석%의료복무%효솔
Essential medicine system%Township hospitals%Data envelopment analysis%Medical service%Efficiency
目的：对山东省乡镇卫生院的医疗服务效率进行评价,为基本药物制度背景下乡镇卫生院的发展提供参考。方法使用数据包络分析法(data envelopment analysis,DEA)对基本药物制度实施前、后山东省15所乡镇卫生院医疗服务效率变化进行评价分析。结果从总体上看,基本药物制度实施后,山东省乡镇卫生院医疗服务效率的相对有效比例从66.67%下降到53.33%；从投入和产出上看,基本药物制度实施后,非 DEA 有效的乡镇卫生院在产出指标上均存在产出不足的情况,而个别投入指标则投入过多。结论基本药物制度实施后,规模效率不高成为影响山东省乡镇卫生院医疗服务效率的主要因素。建议继续完善基本药物制度,提高医务人员的工作积极性,改善财政补偿政策,保持政策的延续性。
目的：對山東省鄉鎮衛生院的醫療服務效率進行評價,為基本藥物製度揹景下鄉鎮衛生院的髮展提供參攷。方法使用數據包絡分析法(data envelopment analysis,DEA)對基本藥物製度實施前、後山東省15所鄉鎮衛生院醫療服務效率變化進行評價分析。結果從總體上看,基本藥物製度實施後,山東省鄉鎮衛生院醫療服務效率的相對有效比例從66.67%下降到53.33%；從投入和產齣上看,基本藥物製度實施後,非 DEA 有效的鄉鎮衛生院在產齣指標上均存在產齣不足的情況,而箇彆投入指標則投入過多。結論基本藥物製度實施後,規模效率不高成為影響山東省鄉鎮衛生院醫療服務效率的主要因素。建議繼續完善基本藥物製度,提高醫務人員的工作積極性,改善財政補償政策,保持政策的延續性。
목적：대산동성향진위생원적의료복무효솔진행평개,위기본약물제도배경하향진위생원적발전제공삼고。방법사용수거포락분석법(data envelopment analysis,DEA)대기본약물제도실시전、후산동성15소향진위생원의료복무효솔변화진행평개분석。결과종총체상간,기본약물제도실시후,산동성향진위생원의료복무효솔적상대유효비례종66.67%하강도53.33%；종투입화산출상간,기본약물제도실시후,비 DEA 유효적향진위생원재산출지표상균존재산출불족적정황,이개별투입지표칙투입과다。결론기본약물제도실시후,규모효솔불고성위영향산동성향진위생원의료복무효솔적주요인소。건의계속완선기본약물제도,제고의무인원적공작적겁성,개선재정보상정책,보지정책적연속성。
Objective To evaluate the township hospitals'medical service efficiency in Shandong province,and to provide references for the development in township hospitals under the background of the essential medicine system.Methods The method of data envelopment analysis(DEA)was used to analyze the township hospitals' medical service efficiency in Shandong province before and since the implementation of the essential medicine system.Results For the township hospitals in Shandong province in general,their relative efficiency ratio of the medical service efficiency dropped from 66.67% to 53.33% since the implementation of the essential medicine system.In terms of the input and output,the non-DEA effective township hospitals are found with insufficient output as measured by the output indicator,while some input indicators input were found as excessive.Conclusion The low scale efficiency has become the main factor for the low service efficiency of such hospitals since the implementation of the essential medicine system in Shandong province.In order to improve the medical service efficiency,it is important to continue to improve the essential medicine system,increase the medical staff's incentives, improve the fiscal compensation policy,and keep the policy continuity.
