基于Network DEA-Tobit模型的各级医院病床效率评价研究
Comparison of hospital bed efficiency evaluation and influencing factors for China's hospitals at all levels
侯亚冰 1张馨予 1王耀刚1
作者信息
- 1. 天津医科大学公共卫生学院 300070
- 折叠
摘要
目的 了解我国各级医院2010年至2016年病床技术效率及其影响因素.方法 运用Network DEA-Tobit两阶段模型,对全国各级医院病床技术效率及其影响因素进行分析.结果 各级医院床位利用现状差异较大,三级医院床位负担重,病床使用率平均为102％,而一级、二级医院床位潜力较大;一级医院、二级医院和三级医院病床平均技术效率分别为0.99、0.37和0.82.各级医院床位相关资源投入过剩与产出不足并存,一级、二级医院床位资源利用严重不足;护床比、住院患者人均医药费、床位收入与财政补助对病床技术效率,差异有统计学意义,其中,护床比与病床技术效率相关系数为3.106 409.结论 要进一步落实分级诊疗制度,明确各级医院功能定位;控制投入规模,提高现有床位资源利用效率;提高各级医院医疗技术水平和诊疗效率,促进床位利用效率最大化.
Abstract
Objective To learn the technical efficiency and influencing factors of hospital beds in China's hospitals from 2010 to 2016.Methods The two-stage Network DEA-Tobit model was used to analyze the technical efficiency and influencing factors of hospital beds at all levels in China.Results There was a big difference in the utilization status of hospital beds at all levels.The bed burden of tertiary hospitals was heavier,and their average bed occupancy rate was 102％,while the potential of primary and secondary hospital beds was relatively large.The average technical efficiency of the hospitals in the primary,secondary and tertiary hospitals was 0.99,0.37 and 0.82,respectively.Over-investment of resources for beds in hospitals at all levels was found with insufficient output,and the utilization of bed resources in primary and secondary hospitals was seriously insufficient.The nurse-bed ratio,per capita medical expenses of hospitalized patients,per-bed income and financial subsidy to the technical efficiency of the hospital bed were statistically significant.The correlation coefficient between the guard bed ratio and the technical efficiency of the hospital bed was 3.106 409.Conclusions It is necessary to further implement the hierarchical medical system and clarify the functional positioning of hospitals at all levels.It is recommended to control the scale of investment and improve the utilization efficiency of existing bed resources,and it is also imperative to improve the medical technology level and diagnosis rate of hospitals at all levels,and promote the maximization of bed utilization efficiency.
关键词
卫生资源/床位效率/技术效率/各级医院/数据包络分析Key words
Health resources/Bed efficiency/Technical efficiency/Hospitals at all levels/Data envelopment analysis引用本文复制引用
基金项目
国家自然科学基金(71473175)
国家自然科学基金(71673199)
天津市哲学社科项目(TJGL18-044)
出版年
2019
NETL
NSTL
维普
万方数据