Efficiency collaboration of tightly integrated medical alliances between upper and lower based on hierarchical linear modeling
10.3760/cma.j.cn111325-20241111-00951
- VernacularTitle:基于多层线性模型的紧密型医疗联合体上下效率联动研究
- Author:
Hufeng WANG
1
;
Shengpeng GUO
Author Information
1. 中国人民大学医改研究中心/健康与医改政策实验室，北京 100872
- Publication Type:Journal Article
- Keywords:
Efficiency, organizational;
Tightly integrated medical alliances;
Efficiency collaboration;
Sanming city;
Hierarchical linear modeling
- From:
Chinese Journal of Hospital Administration
2025;41(4):249-254
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore whether the general hospital and primary healthcare institutions can achieve efficiency collaboration in tightly integrated medical alliances, with Sanming as a case study.Methods:The service data of 12 general hospitals and 129 primary healthcare institutions in Sanming city from 2021 to 2023 were collected, and data envelopment analysis was used to evaluate the comprehensive technical efficiency, pure technical efficiency and scale efficiency, and hierarchical linear modeling was used to explore the influence of the service efficiency of general hospitals on the service efficiency of primary healthcare institutions.Results:The comprehensive technical efficiency, pure technical efficiency and scale efficiency of the general hospitals were 0.966, 0.995 and 0.971, respectively higher than those of the primary healthcare institutions, which were 0.505, 0.670 and 0.745. The comprehensive technical efficiency of the general hospitals had a significant positive impact on the comprehensive technical efficiency of the primary healthcare institutions ( β=0.833). and the scale efficiency of the general hospitals could lead to the improvement of pure technical efficiency ( β=0.619) and scale efficiency ( β=0.705) of primary health care institutions ( P<0.05). Conclusions:Tightly integrated medical alliances could achieve efficiency collaboration between general hospitals and primary healthcare institutions. However, the service efficiency and development progress of general hospitals are superior to those of primary healthcare institutions, and the pure technical efficiency of general hospitals has not yet played a driving role.
