| 摘要: |
| 探讨新医改背景下，山东省2015年社区卫生服务站资源配置效率变化情况。方法：利用数据包络分析，对山东省16个地市1246家社区卫生服务站进行总体效率、技术效率和规模效率评价。结果：社区卫生服务站总体效率有效占比为14.00%，有8个地市的总体有效占比高于均值，多集中在西部地区；总体技术有效占比为34.00%，有63.00%的地市技术有效占比高于均值。东部的技术有效占比明显高于中西部地区；规模有效占比为14.00%，69.00%的地市规模有效占比高于均值，大城市的规模有效占比明显偏低。技术有效同时规模无效的规模报酬递增均数占比为59.84%，东西部占比相差悬殊；规模有效同时技术无效规模报酬递增的社区卫生服务站基本没有；规模无效约占86.00%，明显高于技术无效占比66.00%。结论：社区卫生服务站总体效率的提高源于规模效率的提升和政策导向，所以在调整社区卫生服务站的资源配置中，应因地制宜，根据区域情况加大基层医疗卫生资源的技术力量和规模投入。 |
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| Assessment of Medical Resource Allocation Efficiency in Shandong Community health service stations |
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| Abstract: |
| Objective: Under new healthcare reform, to explore changes of medical resource allocation efficiency in Shandong community health service stations in 2015. Methods: Questionnaire method was used to analysis data about 1246 community health service stations of 16 cities in Shandong province. The analysis included overall efficiency, technical efficiency and scale efficiency evaluations. Results: The overall effective rate of Community health service stations was 14.00%, which were more concentrated in western region. Eight cities’ effective rates were higher than the average. The overall technical effective rate was 34.00%. 63.00% cities’ values were apparently higher than it. In general, technical efficiencies in east regions were obviously better than the central and western areas. The overall scale effective rate was 14.00%, of which, City scale of higher than it was 69.00%. The mean percentage of increasing returns to scale was 59.84%, when technology was effective and scale was invalid. In the matter of ratio, it was a wide gap between East and West. The proportion of invalid scale was about 86.00%, and significantly higher than technical scale which was 66.00%. Conclusions: The promotion of total efficiency and policy orientation were main causes of total efficiency in community health service stations. So resource allocations should be adjusted to local community health service conditions, such as the increase of technical technology strength and scale investment |
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