摘要
药品零加成是公立医院综合改革的重要内容之一,县级公立医院实施药品零加成制度后,原有的运行效率和运行模式势必会受到影响。文章选取江苏省18家三级县级公立医院2013-2016年医疗数据,运用DEA-Malmquist指数模型对其运行效率变化状况进行分析,再运用面板数据模型分析影响运行效率的主要因素。结果:药品零加成制度实施前后,县级公立医院运行效率差异明显,零加成后运行效率总体呈下降趋势,医院固定资产值与运行效率呈负相关,医务人员数量和运行效率正相关,住院次均费用和运行效率负相关,门诊次均费用与运行效率呈正相关。
Zero price addition policy of drugs is one of the important contents of the comprehensive reform on public hospi- tals, which had influenced the operating efficiency and mode of county public hospitals. Medical data of 18 tertiary hospitals in Jiangsu Province from 2013 to 2016 was analyzed with DEA - Malmquist index model and panel data model. The results showed that there had significantly different operating efficiency in county public hospitals before and after the implementation of zero price addition policy of drugs. After the implementation of zero price addition policy of drugs, the efficiency kept declining. The value of fixed assets was negatively correlated with the operation efficiency. The amount of medical personnel was positively correlated with the operation efficiency. The average cost of hospitalization was negatively correlated with the operation efficiency. And the average cost of inpatients was positively correlated with the operation efficiency.
出处
《中国卫生事业管理》
北大核心
2017年第10期757-760,共4页
Chinese Health Service Management
基金
江苏省高校哲学社会科学研究重点项目"江苏省县级公立医院改革评估及发展对策研究"(编号:2014ZDIXM018)
关键词
县级公立医院
运行效率
数据包络分析
county public hospitals
operating efficiency
Data Envelopment Analysis
