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毛燕娜, 刘丽杭, 王小万. 不同类型社区卫生服务提供效率DEA模型评价[J]. 中国公共卫生, 2013, 29(10): 1420-1424. DOI: 10.11847/zgggws2013-29-10-06
引用本文: 毛燕娜, 刘丽杭, 王小万. 不同类型社区卫生服务提供效率DEA模型评价[J]. 中国公共卫生, 2013, 29(10): 1420-1424. DOI: 10.11847/zgggws2013-29-10-06
MAO Yan-na, LIU Li-hang, WANG Xiao-wan. Evalnation on efficiency of different types of community health service with DEA model[J]. Chinese Journal of Public Health, 2013, 29(10): 1420-1424. DOI: 10.11847/zgggws2013-29-10-06
Citation: MAO Yan-na, LIU Li-hang, WANG Xiao-wan. Evalnation on efficiency of different types of community health service with DEA model[J]. Chinese Journal of Public Health, 2013, 29(10): 1420-1424. DOI: 10.11847/zgggws2013-29-10-06

不同类型社区卫生服务提供效率DEA模型评价

Evalnation on efficiency of different types of community health service with DEA model

  • 摘要: 目的评价湖南省14市社区卫生系统不同类型服务提供效率情况,为提高社区卫生服务效率和质量提供参考。方法通过收集湖南省2011年国家基本公共卫生服务项目考核评估调查及2011年湖南省卫生部门统计报表数据,分别构建基本医疗服务、妇幼卫生服务、慢病管理服务以及预防和健康促进服务的提供效率评价模型,采用数据包络分析法(DEA)评价其不同类型服务的提供效率状况。结果湖南省14市社区卫生服务系统中,在基本医疗服务方面岳阳、衡阳和张家界3市的DEA有效,有效率为21.4%;妇幼卫生服务方面,衡阳市、郴州和张家界3市DEA有效,有效率为21.4%;慢病管理服务方面,岳阳、衡阳、娄底市和张家界4市DEA有效,有效率为28.6%;预防与健康促进方面,长沙、株洲、湘潭、衡阳和张家界5市的DEA有效,有效率35.7%。结论建议改进技术的同时,提高技术上资源的合理组合,制定相应的激励政策提高提供效率,使资源得以充分利用。

     

    Abstract: Objective To evaluate the delivery efficiency of different type of community health service(CHS)provided by community health system among 14 cities in Hunan province,and to provide reference for improving the delivery efficiency and quality of CHS.Methods The delivery efficiency of different types of CHS was evaluated with five data envelopment analysis(DEA)molds with the input and output data collected from performance evaluation survey on national primary public health service and statistics of health departments in Hunan province in 2011.Results For the primary health care,3 out of 14 CHS systems at city level were efficient according to DEA,with the overall efficient rate of 21.4%.The situation of maternal and child health was the same as that of primary health care.For the management of chronic diseases,4 out of 14 CHS systems were efficient according to DEA,with the overall efficient rate of 28.6%.For the prevention and health promotion,5 out of 14 community health service systems were efficient according to DEA,with the overall efficient rate of 35.7%.ConclusionThe results suggest that there is a need to promote medical skill,technical resource allocation,and establishment of effective stimulating policy for the improvement of delivery efficiency of CHS.

     

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