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随机前沿成本函数方法在医院经济效率评价中的应用

Application of the random front cost function method in assessing the commercial efficiency of hospitals

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【作者】 吴明李曼春侯建林唐承王俊李刚

【Author】 WU Ming, LI Manchun, HOU Jianlin, et al. Health Economic Department, Beijing Medical University, Beijing 100083, China

【机构】 北京医科大学卫生经济教研室威海市卫生局

【摘要】 目的 将随机前沿成本函数方法应用于医院经济效率的评价 ,为医院发现低效率问题的原因和为有关部门制定政策提供参考。方法 利用威海市县及以上医院的数据建立随机成本函数模型。结果 威海市县及以上医院平均低效率为 8 51 % ,最高达 2 4 5 % ;平均每所医院因低效率导致的无效成本支出为 1 2 2 2 7万元。产生低效率的原因是医院的成本结构不合理 ,存在着不同程度的无效成本支出。结论 与其它评价经济效率的方法相比 ,随机前沿成本函数方法的综合性强 ,不仅可以反映某地区医院的总经济效率 ,也可以评价各个医院的相对效率水平 ,并可直观反映低效率给医院带来的损失程度

【Abstract】 Objective The method of random front cost function was used in assessing the commercial efficiency of hospitals in order to provide reference for hospitals to find the causes of inefficiency and for departments concerned to formulate policies. Methods A random cost function model was built by means of data from hospitals at county level and above in Weihai. Results The average inefficiency of hospitals at county level and above in Weihai was 8.51%, with the highest reaching 24.5%. The hospitals cost of idleness expenditures brought about by inefficiency averaged 1,222,700 yuan. The cause of inefficiency lied in the irrational cost structure of the hospitals and their cost of idleness expenditures to varying degrees. Conclusion Compared with other methods of assessing commercial efficiency, the method of random front cost function, which is comprehensive in nature, can not only reflect the general commercial efficiency of hospitals in a certain region, but also assess the relative efficiency level of each hospital. It can also directly indicate the extent of losses brought to hospitals by inefficiency.

  • 【文献出处】 中华医院管理杂志 ,CHINESE JOURNAL OF HOSPITAL ADMINISTRATION , 编辑部邮箱 ,2000年08期
  • 【分类号】R197.32
  • 【被引频次】79
  • 【下载频次】515
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