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山东省79家三级综合医院资源配置效率研究

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目的:通过分析山东省三级综合医院的医疗卫生资源配置效率差异,深入挖掘其非均衡变化的原因,为优化提升医疗卫生资源配置效率提供决策参考.方法:采用数据包络分析法(Data Envelopment Analysis,DEA)和马姆奎斯特(Malmquist)指数模型,从静态和动态2个角度运用大量实证数据综合分析山东省79家三级综合医院2017—2021年的医疗卫生资源配置效率.结果:79家医院纯技术效率整体上呈现上升趋势,规模效率出现下降,但规模效率在5年内均大于技术效率;全要素生产率在5年内先降后升,受技术变迁指数的影响较大;省内地区间医疗卫生资源配置效率不均衡;样本医院普遍在2020年出现重要转折.结论:因地制宜促均衡,协调发展共繁荣;技术与规模效率并重,双轮驱动医院前行;创新驱动技术进步,全要素提升医院产能;强化应急响应机制,提升医院公共卫生保障,从而推动医院高质量发展.
Study on the Resource Allocation Efficiency of 79 Tertiary General Hospitals in Shandong Province
Objective:By analyzing the differences in health resource allocation efficiency among the tertiary general hospitals in Shandong Province,it deeply explored the reasons for the non-balanced changes and provide decision-making references for optimizing and improving health resource allocation efficiency. Methods:Data Envelopment Analysis (DEA) and Malmquist index model were used to analyze the time evolution of operation management efficiency of tertiary general hospitals in Shandong Province from 2017 to 2021. Results:Overall,the pure technical efficiency of 79 hospitals showed an upward trend,while the scale efficiency showed a downward trend,but the scale efficiency was greater than the technical efficiency in 5 years. The Total Factor Productivity (TFP) decreased first and then increased in 5 years,which was greatly affected by the technological change index. There is an uneven allocation of medical and health resources among regions within the province. Sample hospitals generally have an important turning point in 2020. Conclusion:It should promote balanced and coordinated development and common prosperity according to local conditions;technology and scale efficiency should be given equal importance,and the hospital should be driven forward by two wheels;innovation should drive technological progress,and the whole element should enhance the hospital's production capacity;and the emergency response mechanism should be strengthened,and the hospital's public health protection should be enhanced,so as to promote the high-quality development of the hospital.

tertiary general hospitalresource allocation efficiencyData Envelopment AnalysisMalmquist index modelShandong

曹养栋、时涛、宫明、仇蕾洁、张家豪、秦大伟、邢鲁民

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山东第一医科大学(山东省医学科学院)医疗保障学院 山东 济南 250117

中国人民解放军联勤保障部队第九六〇医院医保办 山东 济南 250031

临沂市人民医院临沂市医院DRG管理与应用重点实验室 山东 临沂 276000

山东第一医科大学第一附属医院(山东省千佛山医院)山东省数据开放创新应用实验室 山东 济南 250014

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三级综合医院 资源配置效率 数据包络分析法 马姆奎斯特指数模型 山东

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(12)