通讯作者: 董恒进, donghj@zju.edu.cn

DOI：10.12201/bmr.202005.00252

Study on the Operation Efficiency of County Medical Community in Zhejiang Province Based on DEA Model

• 摘要：目的：以医院数据为标准,对浙江省11个县域医共体的效率进行评估,分析改革前后效率变化,为医共体优化资源配置提供政策建议。方法：收集11个县域医共体相关数据,采用DEA数据分析方法,计算县域医共体运行效率。结果：改革后,各试点县域医共体运行效率均有所增加,不同地区存在差异,县级医院综合运行效率偏低,基层医疗机构技术效率较高。结论：浙江省县域医共体大部分试点运行效率相对低下,优化卫生资源配置,加强基层医疗机构基础建设,改善县级医院管理水平,提高卫生服务产出；部分县域医共体应规避资源整合,规模扩张的风险。

  关键词： 县域医共体，DEA，运行效率,卫生资源配置; ; ; 

   

  Abstract: 【ABSTRACT】Objective: To evaluate the efficiency of medical communities in 11 counties of Zhejiang Province based on hospital data, analyze the efficiency changes before and after the reform, and provide policy recommendations for optimizing the allocation of resources in medical communities. Methods: Data of 11 County medical communities were collected, and DEA data analysis method was used to calculate the operation efficiency of county medical communities. Result: After the reform, the operation efficiency of the county medical community has increased, and there are differences in different regions. The comprehensive operation efficiency of county hospitals is low, and the technical efficiency of grass-roots medical institutions is high. Conclusion: Most of the pilot projects of county-level medical communities in Zhejiang Province are relatively inefficient, optimizing the allocation of health resources, strengthening the infrastructure of primary medical institutions, improving the management level of county-level hospitals and increasing the output of health services; some county-level medical communities should avoid the risk of resource integration and scale expansion.

  Key words: County Medical Community; DEA; Operating Efficiency; Health Resource Allocation

  提交时间：2021-03-26

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2020-05-09	bmr.202005.00252V1	下载

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