Evaluation on efficiency of third-grade first-class comprehensive hospitals in Heilongjiang Province based on data envelopment analysis
HU Zhen-zhen*, LI Jin-mei, JIANG Hai-bing, SUI Hong
*Department of Health Statistics, Harbin Medical University, Harbin, Heilongjiang 150081, China Corresponding author: SUI Hong, E-mail:suisuihong@126.com
Abstract：Objective To evaluate the dynamic changes of running efficiency and productivity of third-grade first-class comprehensive hospitals in Heilongjiang Province during 2007-2013 so as to provide the management evidence and decision references for the hospitals’ managers and policymakers. Methods CCR and BCC models were employed for performing a cross-sectional analysis of annual efficiency of the sample hospitals, andthe above-mentioned modelscombined with the Malmquist index modelfor assessing the total factor productivity and longitudinal cross-period development. Results The 27 third-grade first-class comprehensive hospitals had been rapidly developing in the capacity and scale during 2007-2013, whereas the hospitals’ running efficiency was declined. On average, 17.43 hospitals were inefficient, 11.15 pure technically inefficient and 17.29 scale inefficient. Among the 27 hospitals, there were 10 (37.04%), 11 (40.74%), 20 (74.07%), 13 (48.15%), 5 (18.52%) and 10 (37.04%) hospitals’ total factor productivity decreased for two consecutive years in 2007-2013. Conclusions The sample hospitals run inefficiently during the 7-year period; and hence, it is necessary to appropriately adjust the hospitals’ scale, improve the utilization efficiency of medical resources and promote the running condition of the hospitals.
胡真真,李金梅,江海冰,隋虹. 基于数据包络分析的黑龙江省三甲综合医院效率评价研究[J]. 实用预防医学, 2017, 24(4): 502-506.
HU Zhen-zhen, LI Jin-mei, JIANG Hai-bing, SUI Hong. Evaluation on efficiency of third-grade first-class comprehensive hospitals in Heilongjiang Province based on data envelopment analysis. , 2017, 24(4): 502-506.
[1] Cheng Z, Tao H, Cai M, et al. Technical efficiency and productivity of Chinese county hospitals: an exploratory study in Henan Province, China.[J]. Bmj Open, 2015, 5(9). [2] 黑龙江省统计局.2014年黑龙江省国民经济和社会发展统计公报(2015-08-13)[2016-09-15][EB/OL]. http://www.hlj.stats.gov.cn/tjgb/shgb/201508/t20150813_32502.htm. [3] 中华人民共和国国家统计局.《中国统计年鉴—2015》(2015)[2016-09-15][EB/OL]. http://www.stats.gov.cn/tjsj/ndsj/2015/indexch.htm. [4] 吴辉, 潘伯臣, 程莉莉,等. 应用数据包络分析评价辽宁西部地区乡镇卫生院技术效率[J]. 实用预防医学, 2008, 15(2):373-375. [5] Charnes A, Cooper WW, Rhodes E. Measuring of efficiency of decision making units[J]. Eur J Oper Res, 1979, 2(6):429-444. [6] Ying CN. The productive efficiency of Chinese hospitals[J]. China Econ Rev, 2011, 22(3):428-439. [7] Yip W, Hsiao W. China's health care reform: A tentative assessment[J]. China Econ Rev, 2009, 20(4):613-619. [8] Lin K, Shao YH, Ma XJ, et al. The comprehensive technical efficiency and determinants of tertiary public hospitals in Zhejiang province: DEA and Tobit-based analysis[J]. Chinese J Health Pol, 2014. [9] Li H, Dong S, Liu T. Relative efficiency and productivity: a preliminary exploration of public hospitals in Beijing, China[J]. BMC Health Serv Res, 2014, 14(5):158-159. [10] Eggleston K, Ling LM, Lindelow M, et al. Health service delivery in China: a literature review[J]. Health Econ, 2008, 17(2):149-165. [11] Zere E, Mbeeli T, Shangula K, et al. Technical efficiency of district hospitals: evidence from Namibia using data envelopment analysis[J]. Cost Effect Res Alloc, 2006, 4(1):1-9. [12] 中华人民共和国卫生部.医院管理评价指南(2008年版)[Z].北京:中华人民共和国卫生与计划生育委员会,2008. [13] Eggleston K, Wang J, Rao K. From plan to market in the health sector: China’s experience[J]. J Asian Econ, 2008, 19(5-6):400-412. [14] 贾月辉, 李金梅, 李慧,等. 黑龙江省居民卫生服务需要现况分析[J]. 实用预防医学, 2014, 21(11):1317-1320. [15] Sheikhzadeh Y, Roudsari AV, Vahidi RG, et al. Public and private hospital services reform using data envelopment analysis to measure technical, scale, allocative, and cost efficiencies[J]. Health Prom Persp, 2012, 2(1):28-41.
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