|
|
Research on efficiency of health resources allocation in national traditional Chinese medicine hospitals based on DEA model |
YUAN Lei1 QU Huilong2 LU Xiaojuan3▲ ZHU Jiahui4 ZHU Borui4 SUN Jinhai1▲ |
1.Department of Health Management, Faculty of Military Health Service, Naval Medical University, Shanghai 200433, China;
2.Department of Cardiology, the Second Affiliated Hospital, Naval Medical University, Shanghai 200433, China;
3.Outpatient Department, the First Affiliated Hospital, Naval Medical University, Shanghai 200433, China;
4.College of Basic Science, Naval Medical University, Shanghai 200433, China |
|
|
Abstract Objective To understand the efficiency of allocation of health resources in Chinese medicine hospitals and offer suggestions. Methods Based on the health input and output data of Chinese medicine hospitals in 31 provinces in 2017, DEA analysis of health resources was carried out from both regional and provincial perspectives. Results The DEA analysis was effective in 3 provinces, was weak in 10 provinces, was ineffective in 18 provinces, and was effective in eastern, central and western regions. Conclusion The allocation efficiency of regional macro-health resources is reasonable, and the allocation efficiency of micro-health resources in provinces is poor. In most provinces, there are excessive investment and insufficient output. It is recommended to control the growth of hospital scale, integrate existing resources, balance regional health resources, improve hospital management and hospital efficiency.
|
|
|
|
|
[1] 陈琳君,索晓灿,冯金灿.河南探索构建中西医并重疾控体系[J].中医药管理杂志,2018,26(22):109.
[2] 彭凯,刘文俊,金晶,等.整合视角下重新看待“中西医并重”[J].中华中医药杂志,2016,31(10):3884-3886.
[3] 陈芳,向媛薇,蒋建华,等.广东省中医医院效率及影响因素分析[J].中国卫生事业管理,2018,35(10):744-747.
[4] 闵晓青.中医医疗机构服务能力发展研究[D].南京:南京中医药大学,2017.
[5] 丁方然,程薇,房耘耘,等.北京市三级中医医院运行效率的Malmquist指数研究[J].中国医院管理,2016,36(7):55-57.
[6] 国家卫生健康委员会.2018年中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社,2018.
[7] 国家中医药管理局.2018年全国中医药统计摘编[M].北京:国家中医药管理局,2018.
[8] 国家中医药管理局.2018中国中医药年鉴[M].北京:中国中医药出版社,2018.
[9] 张晗,熊巨洋,沈晓,等.石家庄市中医药服务综合改革效果DEA评价[J].医学与社会,2018,31(11):8-10,14.
[10] 何思长,刘志会,赵大仁,等.2009年~2014年我国中医医院的资源配置情况分析[J].中国医疗管理科学,2016, 6(4):47-51.
[11] 胡青,时孝春,钱爱兵.基于TOPSIS的江苏省公立三甲中医医院服务效率研究[J].中国卫生事业管理,2017, 34(10):746-750.
[12] 袁磊,朱勃睿,段光锋,等.上海市八所三级综合性医院2012-2015年经济运行分析[J].解放军医院管理杂志,2018,25(3):259-262.
[13] 黄舒婷,庞震苗,邹晓琦,等.基于数据包络分析的广东省中医医院医疗资源配置效率分析[J].中国卫生统计,2017,34(1):118-120.
[14] 徐道富,钟永超.医改新政下的三级中医医院发展思路探析[J].江西中医药,2018,49(10):11-13.
[15] 王莹,黄敏媛,魏建好,等.湖南省中医医院医疗服务效率及预测研究[J].中国中医药信息杂志,2018,25(10):4-8.
[16] 王宗武,丁方然,马晨骋,等.基于Malmquist指数的北京二级中医医院运行效率研究[J].中国医院管理,2016, 36(10):50-52.
[17] 张昕男,杨毅,陈昭荣,等.基于DEA的全国中医医院卫生资源配置效率评价[J].中国医院管理,2017,37(11):30-33.
[18] 王晓丽,孙雪松,张寅,等.基于德尔菲法的区域卫生信息管理平台指标体系构建[J].北京生物医学工程,2017, 36(4):390-393,399.
[19] 张广东.周口市中医药事业发展存在的问题及对策[J].中国医药导报,2019,16(2):178-181.
[20] 舒亚玲,沈绍武,徐国栋,等.湖北省公立中医医院发展现状及对策研究[J].中国医院,2018,22(9):33-35.
[21] 王溪,郭艺玮,白倩,等.2016年我国31省份中医类医院配置公平性分析[J].中国医药导报,2019,16(22):174-177,184.
[22] 白倩,郭艺玮,王溪,等.中医类医院运行效率研究现状[J].中国医药导报,2019,16(20):57-59,71. |
|
|
|