摘要
目的了解广东省民营医院2014-2016年的服务效率状况,并且分析服务效率较低的地区、年份投入和产出的冗余值,提出改进方案。方法使用DEA中的Malmquist模型了解全要素生产率的变动(tfpch)主要来源于技术变动(tech)还是效率变动(effch)的原因。使用数据包络分析法CCR和BCC模型分析各个决策单元(年份和地区)规模报酬的变化,并分析是否相对有效。结果广东省民营医院投入的年增长率明显大于产出的年增长率,效率变动的提高主要来源于规模效率的变动,全要素生产率的变动主要来源于效率变动的影响。广东省达到相对有效性的城市为7个,只占总体(21个)的33.33%,剩余城市只有6个城市处于规模报酬递增阶段,可以考虑增加投入。2014-2017年间,总体上2014和2015年达到了规模报酬不变,达到了相对有效性,2016和2017年广东省民营医院处于规模效率递减阶段,存在改进空间。结论在国务院颁布相关的政策通知之后广东省民营医院存在盲目扩张的现象,导致规模效率不高,在广东省较发达地区民营医院相较于较不发达地区存在更多规模报酬递减的情况。可以通过引进人才、加入专科联盟、提高管理水平等方式来达到相对有效性。
Objective To study the service efficiency of the private hospitals in Guangdong Province from 2014 to2016,and analyze the redundancy values of inputs and outputs in regions and years with low service efficiency,and propose improvements.Methods Malmquist model in DEA was employed to investigate the changes in total factor productivity mainly depending on the technical changes or the reasons for efficiency changes.The data envelopment analysis CCR and BCC models were used to analyze the changes in the scale returns of each decision-making unit(year and region)and analyze whether it was relatively effective.Results The annual growth rate of investment in the private hospitals in Guangdong Province was significantly greater than the annual growth rate of output.The increase in efficiency was mainly due to the change in scale efficiency.The change in total factor productivity was mainly due to the impact of efficiency changes.There were 7 regions in Guangdong Province with decreasing scale efficiency,6 in the stage of increasing scale efficiency,7 in the stage of constant returns to scale,and the cities with relative effectiveness only accounted for 33.33%of the total.During the period of2014-2017,the scale returns were unchanged in 2014 and 2015 in general achieving the relative effectiveness,but from2016 to 2017,the private hospitals in Guangdong Province were in the stage of decreasing scale efficiency,with room for improvement.Conclusion After the State Council promulgated relevant policy notices,there is a blind expansion of private hospitals in Guangdong Province,resulting in low scale efficiency.There are more diversified returns in private hospitals in the more developed areas of Guangdong Province than in the less developed regions.Private hospitals must enhance their core competitiveness in terms of strategic positioning,resource allocation efficiency,talent introduction and training,and technology upgrading.
作者
彭成
林金雄
董国营
郭六生
贾瀚璐
廖颂凯
安宁波
PENG Cheng;LIN Jinxiong;DONG Guoying;GUO Liusheng;JIA Hanlu;LIAO Songkai;AN Ningbo(School of Health Management,Southern Medical University,Guangzhou 510515,China;不详)
出处
《现代医院》
2020年第8期1137-1141,共5页
Modern Hospitals
基金
教育部人文社会科学研究一般项目(No.19YJC630001)。
关键词
民营医院
数据包络分析
规模效率
Private hospital
Data envelopment analysis
Scale efficiency
