Operation efficiency of community health centers in Chaoyang district,Beijing:Based on DEA-Malmquist analysis
10.3969/j.issn.1674-2982.2025.07.006
- VernacularTitle:基于DEA-Malmquist指数的北京市朝阳区社区卫生服务中心运行效率研究
- Author:
Zheng WANG
1
;
Yue CHEN
;
Sha-sha YUAN
Author Information
1. 北京协和医学院/中国医学科学院/医学信息研究所/图书馆 北京 100020
- Publication Type:Journal Article
- Keywords:
Community health center;
Operation efficiency;
DEA model;
Malmquist index model
- From:
Chinese Journal of Health Policy
2025;18(7):44-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the operation efficiency of community health centers with inpatient beds in Chaoyang District,Beijing,providing evidence-based support for optimizing community health centers health resource allocation under the hierarchical medical system.Methods:Data on health resource inputsand service outputs were collected from all 10 eligible community health centers in Chaoyang District(2018-2023).Static efficiency was evaluated using the DEA-BCC model,while dynamic efficiency was assessed via the Malmquist index model.Results:Human capital input showed a year-on-year increase.Inpatient beds,outpatient visits,and inpatient discharges exhibited a fluctuating upward trend overall,with 2020 as a turning point.Static efficiency analysis revealed that mean technical efficiency first increased then decreased.The proportion of institutions exhibiting decreasing returns to scale decreased from 60%(2018)to 20%(2023).Dynamic efficiency analysis indicated that total factor productivity(TFP)fluctuated in a"rise → decline → rise → decline → rise"pattern,with a marginal overall decrease(mean:0.998).Conclusion:The technological change index was identified as the core driver of TFP changes in the sample community health centers during 2018 and 2023.Given the continuous increase in human capital input,future efforts to optimize health resource allocation should prioritize enhancing technical efficiency and technological advancement.
