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北京市17类医疗机构卫生资源配置效率分析

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目的:分析2016-2022年北京市17类医疗机构卫生资源配置效率及其变化趋势,探讨资源配置存在的问题,为提升卫生资源配置效率提供参考建议.方法:采用数据包络分析法中的假设规模效率可变模型,静态分析2022年北京市17类医疗机构的卫生资源配置效率;采用生产率指数模型,动态分析2016-2022年北京市17类医疗机构的卫生资源配置效率.结果:2022年北京市17类医疗机构整体综合效率值不高,平均为0.804.其中,6类医疗机构生产效率有效,占比为35.30%;4类医疗机构弱有效,占比为23.50%;7类医疗机构无效,占比为41.20%.2016-2022年综合医院、骨科医院、其他专科医院、护理院的全要素生产率变化指数大于1,全要素生产率变化指数均值为0.907.结论:北京市各类医疗机构卫生资源配置效率有待提升.建议政府要加强宏观调控,与市场结合配置卫生资源;加快推进分级诊疗制度,调整医疗资源结构,提升资源利用率;充分利用精神病医院卫生资源,避免资源浪费;提高技术能力,促进技术创新.
Analysis on the Efficiency of Health Resource Allocation in 17 types of Medical Institutions in Beijing
Objective:It analyzes the resource allocation efficiency and its changing trend of 17 types of medical institutions in Beijing from 2016 to 2022,discusses the problems existing in resource allocation,and provides reference suggestions for improving the efficiency of health resource allocation.Methods:The Banker-Chames-Cooper(BCC)model in Data Envelopment Analysis(DEA)was used to statically analyze the health resource allocation efficiency of 17 types of medical institutions in Beijing in 2022.The Malmquist index model was used to dynamically analyze the health resource allocation efficiency of 17 types of medical institutions in Beijing from 2016 to 2022.Results:In 2022,the overall comprehensive efficiency of medical institutions in Beijing was not high,with an average of 0.804.There were 6 types of medical institutions with effective production efficiency(35.30%),4 types of medical institutions with weak production efficiency(23.50%),and 7 types of medical institutions with ineffective production efficiency(41.20%).From 2016 to 2022,the total factor productivity change index of general hospitals,orthopedic hospitals,other specialized hospitals and nursing homes was greater than 1,and the average total factor productivity change index was 0.907.Conclusion:The allocation efficiency of health resources in various medical institutions in Beijing needs to be improved.It is suggested that the government should strengthen macro-control and allocate health resources in combination with the market;accelerate the promotion of hierarchical diagnosis and treatment system,adjust the structure of medical resources,and improve the utilization rate of resources;make full use of psychiatric hospital health resources,avoid resource waste;improve technical ability and promote technological innovation.

medical institutionshealth resource allocationefficiencyBeijing

冯颖、王铭、王丽、韩爱庆、唐燕

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北京中医药大学管理学院 北京 102401

医疗机构 卫生资源配置 效率 北京

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(10)