摘要
目的:分析2019—2023年广东省21个地市城市公立医院的资源配置综合效率,以期为今后医疗政策制定者、医院管理者在资源配置与管理时提供实证依据。方法:运用数据包络分析法与Malmquist指数模型评价广东省城市公立医院的卫生资源配置效率。结果:2019—2023年广东省城市公立医院综合效率轻度无效,仅7个地市保持相对有效,地区差异较大。Malmquist指数模型分析显示,广东省城市公立医院卫生资源配置全要素生产率在2019-2020年有所降低,2020—2023年持续提升,主要源于技术进步指数、规模效率指数的上升。全要素生产率横向对比,广东省9个地市上升,12个地市下降,地区差异明显。投入产出冗余分析显示,仅6个地市投入产出无冗余。结论:2019—2023年广东省城市公立医院资源配置效率总体偏低,地区差异较大,未来要统筹做好资源配置规划,注重精细化管理,强化人才培训与技术提升,提高现有资源运营效率,促进医院高质量发展。
Objective:To analyze the comprehensive efficiency of resource allocation in urban public hospitals in 21cities of Guangdong Province from 2019 to 2023,aiming at providing empirical evidence for future medical policy makers and hospital managers in resource allocation and management.Methods:Using Data Envelopment Analysis and Malmquist index to evaluate the efficiency of health resource allocation in public hospitals in Guangdong.Results:From 2019 to 2023,the comprehensive efficiency of urban public hospitals in Guangdong Province was mildly ineffective,only 7 cities showing relative effectiveness,and there were significant regional differences in efficiency.Malmquist index analysis showed that the total factor productivity of health resource allocation in urban public hospitals in the province decreased from 2019 to 2020 and kept increasing from 2020 to 2023,mainly due to the increasing of the technological progress index and the scale efficiency index.Horizontally,the total factor productivity of 9 cities in the province has increased,while the total factor productivity of 12 cities has decreased,with significant regional differences.The input-output redundancy analysis shows that only 6 cities have no input-output redundancy.Conclusion:The overall efficiency of resource allocation in urban public hospitals in Guangdong Province from 2019 to 2023 is relatively low,with significant regional differences.In the future,it is necessary to coordinate and plan resource allocation,focus on refined management,strengthen talent training and technological improvement,improve the operational efficiency of existing resources,and promote high-quality development of hospitals.
作者
陈国祝
刘伟锋
张宇梁
李琴
潘宏伟
邹俐爱
Chen Guozhu;Liu Weifeng;Zhang Yuliang(Dongguan Maternal and Child Health Hospital,Dongguan,Guangdong,523110,China;不详)
出处
《中国卫生经济》
北大核心
2025年第6期62-68,共7页
Chinese Health Economics
基金
广东省医学科学技术研究项目(C2023113)。
