Cost efficiency analysis of 141 public tertiary hospitals based on COST-DEA model
10.3760/cma.j.cn111325-20200816-01792
- VernacularTitle:基于COST-DEA模型的141所公立三级综合医院成本效率分析
- Author:
Meng LI
1
;
Shuyan GUO
;
Wei YANG
;
Tingting YANG
;
Hao LI
;
Siping DONG
Author Information
1. 国家卫生健康委医院管理研究所，北京 100044
- From:
Chinese Journal of Hospital Administration
2020;36(11):891-895
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To measure the cost efficiency and its components of 141 public tertiary hospitals of China and measure the influencing factors.Methods:COST, CCR and BCC model of DEA were used to measure the cost efficiency, allocative efficiency, technical efficiency, pure technical efficiency and scale efficiency.Results:In 2018, the values of cost efficiency, allocative efficiency, technical efficiency, pure technical efficiency, scale efficiency of the sample hospitals were 0.632, 0.929, 0.675, 0.732 and 0.917 respectively. 10(7.09%)sample hospitals were in the state of constant returns to scale, 41(29.08%)sample hospitals were in a state of decreasing returns to scale, while 90(63.83%)sample hospitals were in a state of increasing returns to scale. The regional GDP per capita and the bed utilization rate, average hospitalization days, average charge per output of hospital had significant impacts on the cost efficiency.Conclusions:Technical efficiency is the main factor affecting cost efficiency, and pure technical efficiency is the key factor for technical efficiency. Continuously improving the internal management level of the hospital is the main and necessary approach to enhance the technical efficiency of public tertiary hospitals. Internal factors have greater impacts on the efficiency of the sample hospitals. Reducing the average length of stay, increasing the utilization rate of beds and reducing the average charge level per outpatient can improve the cost efficiency of the hospitals.
