CAJ | 학술논문

目的：：研究福建省40家县级综合性公立医院的综合效率、技术效率和规模效率变化情况,以及全要素生产率随着时间变化的情况,为提高县级综合性公立医院运营效率提供决策依据和参考。方法：收集2009—2014年福建省40家县级综合性公立医院运营相关数据,运用数据包络分析法( DEA)的CCR、BCC和Malmquist模型进行分析。结果：40家县级综合性公立医院中绝大多数处于规模递减状态,2009—2014年的全要素生产率为1．019,21家(52．5%)医院生产率有所提高,其中3家医院生产率提高是由于技术进步,3家是由于效率提高,15家是由于技术进步和效率提高共同作用。结论：福建省县级综合性公立医院效率总体不足,且不同地区医院运行效率有差异,山区医院效率有所提高,沿海地区医院效率出现下降。因此,政府在加大对县级综合性公立医院投入时,应采取差别化政策,注意合理控制医院规模,同时应加强内涵建设,重视医疗技术的提升。
목적：：연구복건성40가현급종합성공립의원적종합효솔、기술효솔화규모효솔변화정황,이급전요소생산솔수착시간변화적정황,위제고현급종합성공립의원운영효솔제공결책의거화삼고。방법：수집2009—2014년복건성40가현급종합성공립의원운영상관수거,운용수거포락분석법( DEA)적CCR、BCC화Malmquist모형진행분석。결과：40가현급종합성공립의원중절대다수처우규모체감상태,2009—2014년적전요소생산솔위1．019,21가(52．5%)의원생산솔유소제고,기중3가의원생산솔제고시유우기술진보,3가시유우효솔제고,15가시유우기술진보화효솔제고공동작용。결론：복건성현급종합성공립의원효솔총체불족,차불동지구의원운행효솔유차이,산구의원효솔유소제고,연해지구의원효솔출현하강。인차,정부재가대대현급종합성공립의원투입시,응채취차별화정책,주의합리공제의원규모,동시응가강내함건설,중시의료기술적제승。
Objective:In order to provide policy-makers with basis and reference for improving the operational efficiency of county general public hospitals, this paper studies the changes in overall efficiency, technical efficiency and scale efficiency of 40 county general public hospitals in Fujian province from 2009 to 2014 , as well as how the to-tal factor productivity changes over the time. Methods: After collecting the relevant data of hospital operations from 2009 to 2014, this paper uses CCR, BBC, Malmquist model and other data envelopment analysis (DEA) methods to analyze the data. Results:The vast majority of those 40 county general public hospitals are in decreasing state. The total factor productivity of 40 hospitals from 2009 to 2014 is 1. 019. There are 21 hospitals (52. 5%) that slightly im-proved their productivity, of which 3 hospitals increased their productivity mainly due to technological progress, 3 hospitals due to efficiency increase, and the rest 15 hospitals due to the effect of both technological progress and effi-ciency increase. Conclusions:The operational efficiency of county general public hospitals in Fujian province is gen-erally insufficient, and there are significant differences between operating efficiency of different regions. The efficien-cy of hospitals in mountainous areas had increased, but the efficiency of hospitals in coastal areas had decreased. Therefore, in order to increase investment in county general public hospitals, the government should take differential policy and pay attention to the reasonable control of hospital size, as well as to strengthen the connotation building and attach importance to improving medical service technologies.