Abstract:Objective Based on DEA-BCC model and DEA-Malmquist model, this paper conducted data envelopment analysis (DEA) on the operational efficiency of county-level public reformed pilot hospitals in Hunan Province during 2012-2013 so as to provide the data and theoretical support for health policy-makers. Methods We selected the annual financial reports of 17 county-level public reformed pilot hospitals in Hunan Province from 2012 to 2013, and sorted out the input and output indicators of the hospitals. DEA-BCC model was employed to analyze the efficiency and reward of the hospitals in 2012 and 2013, and DEA-Malmquist index model was used to analyze the changes of total factor productivity (TFP) from 2012 to 2013. Results Of the 17 hospitals during the period, the annual technical efficiency increased from 0.805 to 0.909, the pure technical efficiency increased from 0.842 to 0.915, the scale efficiency increased from 0.956 to 0.993. DEA effective hospitals increased from 6 (35.3%) to 8 (47.1%). The average score of TFP changes of the 17 hospitals was 1.037, the average score of technical change was 0.903, the average score of efficiency changes was 1.148, the average score of pure efficiency change was 1.100, and the average score of the scale efficiency change was 1.043. 10 hospitals’ TFP increased, accounting for 58.8%. 7 hospitals’ TFP decreased, accounting for 41.2%. Conclusions The overall efficiency of the 17 hospitals has improved as compared with the previous year, but the insufficient or excessive use of resources is still a problem in some hospitals. The overall TFP is increased, but the score of technical change regresses significantly. The hospitals should focus on improving medical technology, training the professionals, and controlling the scale of hospital in appropriate size.
龚倩怡, 杨土保,游茂,李娴君,孙越. 湖南省17家改革试点县级公立医院运行效率DEA的评价[J]. 实用预防医学, 2016, 23(7): 885-888.
GONG Qian-yi, YANG Tu-bao, YOU Mao, LI Xian-jun, SUN Yue. Evaluation on the operating efficiency of 17 county-level public reformed pilot hospitals in Hunan Province by DEA. , 2016, 23(7): 885-888.