广西民营医院运行效率及影响因素研究
Operational efficiency and influencing factors of private hospitals in Guangxi Zhuang Autonomous Region
张亚娟 1朱平华 1杨海秀2
作者信息
- 1. 530021 南宁,广西医科大学人文社会科学学院
- 2. 530021 南宁,广西医科大学马克思主义学院
- 折叠
摘要
目的 分析广西二级及以上民营医院运行效率及其影响因素,为优化广西医疗卫生资源配置并推动广西民营医院高质量发展提供参考建议.方法 通过问卷调查收集民营医院运行数据,分别采用DEA法和Tobit回归模型测算效率、探究影响因素.结果 专科民营医院及综合民营医院综合效率均值、纯技术效率均值、规模效率均值分别为0.612和0.646、0.799和0.770、0.748和0.820.14个地市中仅有崇左市为DEA有效.非DEA有效医院投入冗余主要为万元以上设备总价值及实际开放床位数,设备及床位资源利用率有待提高;门急诊人次数产出不足率均值＞100％,是民营医院产出不足的主要方面.是否为医保定点与专科、综合民营医院效率均成负向关系;患者次均诊疗费用、住院费用及人均GDP与专科、综合民营医院效率均成负向关系;人口密度与专科、综合民营医院分别成负向、正向关系;药占比及平均床位使用率与综合民营医院成正向关系.结论 民营医院效率存在区域差异且环境因素对医院效率影响显著,规模扩张时应充分考虑外部因素的差异性,强化其战略布局及优化配置.专科民营医院与综合民营医院效率低下且原因各异,应精准施策以提升效率.医疗费用过高不利于患者的就医选择和医院发展,应提高服务效率及控费效果.
Abstract
Objective To investigate the operational efficiency and influencing factors of secondary and tertiary private hospitals in Guangxi Zhuang Autonomous Region and propose recommendations for improving medical resource allocation and promoting high-quality development of private hospitals in the region.Methods The operation data on private hospitals were collected via surveys,and the Data Envelopment Analysis(DEA)method coupled with the Tobit regression model was employed to evaluate the operational efficiency and investigate the influencing factors.Results The mean comprehensive,technical,and scale efficiencies for specialized and general private hospitals were 0.612/0.646,0.799/0.770,and 0.748/0.820,respectively.Among the 14 cities surveyed,only Chongzuo had a valid DEA.The redundancy of non-DEA effective hospital investment was mainly the total value of equipment above 10,000 yuan and the actual number of open beds,and the utilization rates of equipment and beds require improvement.Outpatient and emergency department output shortages exceeded 100％,constituting a significant output deficit among private hospitals.Insurance designation status negatively correlated with hospital efficiency,as did higher average diagnosis and treatment costs,hospitalization costs,and per capita GDP.Population density had varied effects,with a negative correlation with specialized hospitals and a positive one with general hospitals.The proportion of drug costs and average bed utilization rate were positively associated with general private hospitals.Conclusion Regional disparities in private hospital efficiency are pronounced,with environmental factors playing a pivotal role.Scale expansion should account for external variations,necessitating strategic planning and resource optimization.Inefficiencies among specialized and general private hospitals stem from distinct causes,calling for targeted policy interventions.High medical costs burden patient care options and hospital growth,highlighting the need for enhanced service efficiency and cost management.
关键词
民营医院/运行效率/DEA/Tobit回归模型Key words
Private hospitals/Operational efficiency/Data Envelopment Analysis/Tobit regression model引用本文复制引用
出版年
2024
NETL
NSTL
万方数据