【作者】 张晓岚； 刘朝； 李黎；

【Author】 ZHANG Xiao-Lan;LIU Zhao;LI Li;School of Economics and Finance,Xi’an Jiaotong University;Shanghai University of International Business and Economics;

【机构】 西安交通大学经济与金融学院； 上海对外经贸大学；

【摘要】 本文基于2005-2011年我国31个省市的面板数据,用DEA-Tobit两阶段分析法评估了我国各省份医院效率的动态变化。首先,用DEA测算了各地区医院的综合效率、纯技术效率和规模效率并进行了动态比较和省域范围的横向比较。其次,利用受限因变量(Tobit)模型对影响效率值的经济规模、人口因素、医院资源等地区差异进行了检验。研究发现:我国医院平均综合技术效率除2007年下降外,整体呈上升趋势。平均纯技术效率的变化趋势与平均综合技术效率基本相似,整体也呈上升趋势,但平均规模效率变化不大,2009年以来的"医改"对医院绩效的影响不明显。医院效率与地区经济发展水平没有必然联系,提高我国地区医院效率最有效的途径是增加技术人员比例,新型农村合作医疗的推广对地区医院效率没有显著影响。更多还原

【Abstract】 This paper based on the panel data of 31 provinces and cities in China 2005-2011 years,we use the DEA-Tobit two stage analysis method,evaluate efficiency of hospital in different provinces,find dynamic changes in various provinces in China.First of all,the comprehensive efficiency,pure technical efficiency and scale efficiency which were calculated by DEA.and be compared in different province.Secondly,some influence factors was analysed such as scale of economy,population,hospital resources by using tobit model.The study found that the average comprehensive efficiency was ascending between 2005 to 2011.But in the year of 2007,the average comprehensive efficiency was descended than 2008.The average pure technical efficiency’s change is similar than the average comprehensive efficiency,but the average scale efficiency had no significant change between 2005 to 2012.There is no necessary connection between regional economic and hospital efficiency.The most effective ways to improve the efficiency of hospitals in China is to increase the proportion of technical personnel.The new rural cooperative medical treatment had no significant effects on the regional hospital efficiency.更多还原