| 引用本文: |
秦江梅,林春梅,张丽芳,等.基层医疗卫生机构运营效率实证分析[J].中国卫生经济,2017,(12):59-63.[点击复制] |
.nalysis of the operating Efficiency of Basic Healthcare Facilities of Areas of primary health care comprehensive reform[J].CHINESE HEALTH ECONOMICS,2017,(12):59-63.[点击复制] |
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| 摘要: |
| 目的：分析基层卫生综合改革重点联系区县基层医疗卫生机构的运营效率和全要素生产效率变动趋势。方法：利用2013?—2015年重点联系区县卫生计生统计年报数据，分析基层医师日均担负门急诊人次数和住院床日数的年增长率，以及每个职工管理慢性病患者（高血压和糖尿病患者）和65岁及以上老年人口的年增长率；运用DEA-BCC模型分析总技术效率，运用Malmquist指数分析其全要素生产率及其分解因素的变化。结果：2013—2015年重点联系区县基层医师日均担负门急诊人次数和住院床日数分别以4.3%和0.5%速度递增，职工年平均管理慢性病患者人数、65岁及以上老年人数分别以0.8%和-4.3%速度递增；2015年，48.3%区县的社区卫生服务机构和63.0%区县的乡镇卫生院处于相对有效的运行状态。与2014年相比，机制体制改革力度大的区县，其基层医疗卫生机构运营有效、全要素生产效率呈增长趋势。整体上，2013—2015年社区卫生服务机构和乡镇卫生院全要素生产率平均下降了5.2%和1.0%。结论：部分重点联系区县基层医疗卫生机构的全要素生产效率有待提高，需要补足技术短板和继续完善基层卫生综合改革，提高整体运营效率。 |
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| nalysis of the operating Efficiency of Basic Healthcare Facilities of Areas of primary health care comprehensive reform |
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| Abstract: |
| Objectives: To assess the service system operating efficiency of Basic Healthcare Facilities of Areas of primary care comprehensive reform. Methods: The data of China Health Statistical Yearbook of areas of primary care comprehensive reform from 2013 to 2015 was used to analyze annual growth rate of average daily outpatient and emergency visits and inpatients per doctor, and the number of chronic patients (Hypertensive and diabetic patients) and older people managed by each medical staff. DEA-BCC model and Malmquist model were applied to perform analysis. Results: The annual increasing rate of average daily outpatient and emergency visits and inpatients per doctor were respectively 4.3% and 0.5% from 2013 to 2015.The annual growth rate of the number of chronic patients and older people managed by each medical staff were respectively 0.8%. and -4.3%. In 2015, 48.3% of the district’’’’’’’’s community health service institutions and 63.0% of the township hospitals were in a relatively effective operational state. Compared with 2014, These districts and counties which primary care mechanism reform and innovation efforts, the total factor production efficiency were improved. The total factor productivity of community health services and township hospitals decreased by 5.2% and 1.0% from 2013 to 2015. Conclusions: There is still big room improvement of the operating efficiency of Primary health care institutions. In this sense, we need to make up the technical shortcomings，continue to improve the comprehensive reform of primary health care, improve the overall operational efficiency. |
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