摘要: |
目的:分析天津市77家公立医院的医疗服务效率及影响因素。方法:采用DEA方法测算医院的医疗服务效率,建立Tobit回归模型分析医疗服务效率的影响因素。结果:天津市公立医院的整体效率值偏低,多数医院处于规模不合理状态,医疗服务效率的显著影响因素包括人均医师门诊量、中高级技术人员比例、医院资产负债率、药品收入比和每门诊人次平均收费水平。结论:提高人均医师门诊量和中高级技术人员比例能显著增强医院的综合技术效率,而降低医院资产负债率和每门诊人次平均收费水平对提高医院效率也存在益处。 |
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Study on the efficiency of public hospitals’ medical service and it’s Influencing factors:Take Tianjin as an Example |
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Abstract: |
Objective: To analyze the efficiency of Tianjin 77 public hospitals’ medical service and it’s Influencing factors. Methods: Using DEA method to measure the hospitals’ medical service efficiency, establishing Tobit regression model to analyze the influencing factors of public hospitals medical service efficiency. Results: The overall efficiency of Tianjin public hospitals is low, most hospitals are not reasonable in the size, the significant influencing factors of Tianjin public hospitals’ medical service efficiency include the per capita physician outpatient, the proportion of senior technical staff, hospital gearing ratio, drug-income ratio and average fee per patient. Conclusion: Increasing the per capita physician outpatient, the proportion of senior technical staff can significantly enhance the overall technical efficiency, and decreasing the gearing ratio and the average fee of per patient is also beneficial to improve hospital efficiency. |
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