中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
28期
3401-3404
,共4页
社区健康服务中心%运行效率%数据包络分析
社區健康服務中心%運行效率%數據包絡分析
사구건강복무중심%운행효솔%수거포락분석
Community health service center%Operational efficiency%Data envelopment analysis
目的：评价社区健康服务中心（社康中心）的运营效率，并提出发展建议。方法运用数据包络分析（ DEA），对深圳市坪山新区某公立医院下设的21家社康中心2013年的基本运行效率（包括综合效率、纯技术效率和规模效率）进行分析。评价指标：投入指标包括总支出、职工人数；产出指标包括总收入、门诊人次、妇儿保健人次、慢性病管理人数、家庭医生签约数。结果21家社康中心平均综合效率为0.839，综合有效比例为38.1％（8／21）；平均技术效率为0.929，纯技术有效比例为66.7％（14／21）；平均规模效率为0.904，规模有效比例为38.1％（8／21）；其中综合效率、纯技术效率及规模效率均未达到有效的社康中心有7家。结论社康中心运行效率较低，且存在医疗资源浪费及各项医疗服务开展不均衡等问题；在进行社康中心建设中，应合理进行资源配置，发挥各资源的最大效用。
目的：評價社區健康服務中心（社康中心）的運營效率，併提齣髮展建議。方法運用數據包絡分析（ DEA），對深圳市坪山新區某公立醫院下設的21傢社康中心2013年的基本運行效率（包括綜閤效率、純技術效率和規模效率）進行分析。評價指標：投入指標包括總支齣、職工人數；產齣指標包括總收入、門診人次、婦兒保健人次、慢性病管理人數、傢庭醫生籤約數。結果21傢社康中心平均綜閤效率為0.839，綜閤有效比例為38.1％（8／21）；平均技術效率為0.929，純技術有效比例為66.7％（14／21）；平均規模效率為0.904，規模有效比例為38.1％（8／21）；其中綜閤效率、純技術效率及規模效率均未達到有效的社康中心有7傢。結論社康中心運行效率較低，且存在醫療資源浪費及各項醫療服務開展不均衡等問題；在進行社康中心建設中，應閤理進行資源配置，髮揮各資源的最大效用。
목적：평개사구건강복무중심（사강중심）적운영효솔，병제출발전건의。방법운용수거포락분석（ DEA），대심수시평산신구모공립의원하설적21가사강중심2013년적기본운행효솔（포괄종합효솔、순기술효솔화규모효솔）진행분석。평개지표：투입지표포괄총지출、직공인수；산출지표포괄총수입、문진인차、부인보건인차、만성병관리인수、가정의생첨약수。결과21가사강중심평균종합효솔위0.839，종합유효비례위38.1％（8／21）；평균기술효솔위0.929，순기술유효비례위66.7％（14／21）；평균규모효솔위0.904，규모유효비례위38.1％（8／21）；기중종합효솔、순기술효솔급규모효솔균미체도유효적사강중심유7가。결론사강중심운행효솔교저，차존재의료자원낭비급각항의료복무개전불균형등문제；재진행사강중심건설중，응합리진행자원배치，발휘각자원적최대효용。
Objective To explore the operational efficiency of community health service centers and provide references for the development of community health service centers.Methods Data envelopment analysis ( DEA) was conducted to evaluate the fundamental operational efficiency ( including general efficiency , pure technical efficiency and scale efficiency ) of 21 community health service centers affiliated to a public hospital in Pingshan New District of Shenzhen in 2013.The evaluation indexes include input indexes , which are total expenditure and the number of staff , and output indexes , which are general income, number of outpatients , number of woman and children who have received healthcare , number of patients who have received chronic disease management and number of contract -signing family doctors.Results The average general efficiency was 0.839, with a generally effective proportion of 38.1% (8/21); the average technical efficiency was 0.929, with a technical effective proportion of 66.7% (14/21); the average scale efficiency was 0.904, with a scale effective proportion of 38.1%(8/21); there were 7 community health service centers that didn′t reach effective level in general efficiency , pure technical efficiency and scale efficiency.Conclusion Community health service centers have low operational efficiency , and problems exist in terms of the waste of medical resources and imbalance among various items of medical services .In the construction of community health service center , resources should be rationally allocated , and the best use of resources should be made.
