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

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.