首页|基于DEA-Malmquist指数模型的我国中医医院服务效率评价研究

基于DEA-Malmquist指数模型的我国中医医院服务效率评价研究

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目的 评价2017-2023年全国30个省(区、市)中医医院的服务效率,为促进中医医院高质量发展提供参考.方法 运用数据包络分析法中的BCC模型和Malmquist指数模型测算全国中医医院服务效率的静态和动态变化,利用时间序列预测法预测2022-2023年的指标变化并进行动态评价.结果 2021年全国中医医院的综合效率均值为0.852,50%的省(区、市)处于DEA无效状态,2017-2021年全国中医医院的总体服务效率呈现下降态势,全要素生产率指数均值为0.958,平均下降4.2%,东、中、西部地区的指数均值分别为0.978、0.946和0.951,3大地区均出现不同程度的下降,经预测分析后的2017-2023年整体效率变化趋势不大.结论 全国中医医院的总体服务效率处于较低水平,且区域发展差异明显,其中技术进步指数是一项重要影响因素.各省(区、市)应合理控制中医医院的发展规模,不断推动技术进步,提高资源利用率,逐步缩小地区差异,进而提升中医医院的服务效率.
Study on Service Efficiency Evaluation of Traditional Chinese Medicine Hospitals Based on DEA-Malmquist Index Model
Objective To evaluate the service efficiency of Traditional Chinese Medicine hospitals in 30 provinces(autonomous regions and municipalities)in China from 2017 to 2023,and to provide reference for promoting the high-quality and efficient development of Traditional Chinese Medicine hospitals.Methods The BCC model and Malmquist index model in data envelopment analysis method are used to measure the static and dynamic changes of service efficiency in Traditional Chinese Medicine hospitals,and the time series prediction method is used to predict the index changes from 2022 to 2023 and make dynamic evaluation.Results In 2021,the average comprehensive efficiency of Traditional Chinese Medicine hospitals in China was 0.852,and 50%of the provinces(autonomous regions and municipalities)were in the state of invalid DEA.From 2017 to 2021,the overall service efficiency of Traditional Chinese Medicine hospitals in China showed a downward trend.The average total factor productivity index was 0.958,with an average decrease of 4.2%.The average index values of the eastern,central and western regions were 0.978,0.946 and 0.951,respectively.The three regions all experienced different degrees of decline,and the overall efficiency showed little change trend from 2017 to 2023 after prediction and analysis.Conclusion The overall service efficiency of Traditional Chinese Medicine hospitals in China is at a low level,and the regional development differences are obvious,among which the technical progress index is an important influencing factor.All provinces(autonomous regions and municipalities)should reasonably control the development scale of Traditional Chinese Medicine hospitals,constantly promote technological progress,improve the utilization rate of resources,gradually narrow regional differences,and then improve the service efficiency of Traditional Chinese Medicine hospitals.

data envelopment analysisTraditional Chinese Medicine hospitalservice efficiencyevaluation

王丽君、张琦、褚志杰、乔全来、王建、郭栋

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山东中医药大学管理学院 山东 济南 250355

山东大学齐鲁医学院公共卫生学院 山东 济南 250012

山东中医药大学附属医院 山东 济南 250014

山东中医药大学教师发展中心 山东 济南 250355

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数据包络分析 中医医院 服务效率 评价

山东省自然科学基金面上项目

ZR2022MG039

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(5)
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