A Study on the correlation between the efficiency of municipal medical service systems and hierarchical diagnosis and treatment based on DEA and SFA
Objective This study aims to explore the relationship between hierarchical diagnosis and treat-ment and the medical service system,providing policy recommendations for improving hierarchical diagnosis and treatment practices.Methods A data envelopment analysis(DEA)framework was constructed to meas-ure the efficiency of medical service systems.Using data from 283 prefecture-level cities in China,efficiency rankings were implemented through DEA and stochastic frontier analysis(SFA).Subsequently,the correlation between these rankings and the proportion of grassroots service volume was analyzed.Results The study suggests a significant positive correlation between the utilization of medical services at the grassroots levels and urban hospitalization,outpatient and emergency services,and comprehensive output efficiency.However,the proportion of grassroots medical insurance fund expenditure exhibited a significant negative correlation with the actual reimbursement ratio for urban healthcare services.Conclusion Hierarchical diagnosis and treatment contributes to enhancing the comprehensive efficiency of China's medical service systems.While its goal is to ensure continuity of medical services,it may inadvertently reduce the actual reimbursement ratio of medical in-surance in the whole city.Therefore,it is recommended to include a comparison of medical service system effi-ciencies when assessing the effectiveness of urban medical reforms.
hierarchical diagnosis and treatmentmedical service systemdata envelopment analysis
万方数据
维普
