Operational efficiency of county public general hospitals in Fujian province from 2009 to 2014
10.3969/j.issn.1674-2982.2015.10.008
- VernacularTitle:福建省县级综合性公立医院运行效率变化分析
- Author:
Shuting WU
;
Xiaonan WU
;
Yueping LI
;
Ningning QIU
;
Xuliang XU
- Publication Type:Journal Article
- Keywords:
DEA;
Malmquist model;
County public hospitals;
Operational efficiency
- From:
Chinese Journal of Health Policy
2015;(10):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective:In order to provide policy-makers with basis and reference for improving the operational efficiency of county general public hospitals, this paper studies the changes in overall efficiency, technical efficiency and scale efficiency of 40 county general public hospitals in Fujian province from 2009 to 2014 , as well as how the to-tal factor productivity changes over the time. Methods: After collecting the relevant data of hospital operations from 2009 to 2014, this paper uses CCR, BBC, Malmquist model and other data envelopment analysis (DEA) methods to analyze the data. Results:The vast majority of those 40 county general public hospitals are in decreasing state. The total factor productivity of 40 hospitals from 2009 to 2014 is 1. 019. There are 21 hospitals (52. 5%) that slightly im-proved their productivity, of which 3 hospitals increased their productivity mainly due to technological progress, 3 hospitals due to efficiency increase, and the rest 15 hospitals due to the effect of both technological progress and effi-ciency increase. Conclusions:The operational efficiency of county general public hospitals in Fujian province is gen-erally insufficient, and there are significant differences between operating efficiency of different regions. The efficien-cy of hospitals in mountainous areas had increased, but the efficiency of hospitals in coastal areas had decreased. Therefore, in order to increase investment in county general public hospitals, the government should take differential policy and pay attention to the reasonable control of hospital size, as well as to strengthen the connotation building and attach importance to improving medical service technologies.
