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目的评价我国社区医疗服务体系的效率。方法利用非参数方法的超效率DEA模型,计算2009年全国社区卫生服务机构的相对效率得分,并比较各地区的相对服务效率。结果 19个地区为非DEA有效;从投入产出冗余量分析,11个地区的医疗服务机构、14个地区的病床投入未充分使用,3个地区的工作人员出现冗余;从产出方面分析,2个地区住院人数和教育培训人次、15个地区的儿童保健管理率和16个地区疾病预防控制现状有待提升。结论社区医疗服务在注重设施配套的基础上应加强医疗服务管理和技术提升,除改善医疗服务外,还应改善卫生保健、疾病预防和康复等其他卫生服务功能。
Objective To evaluate the efficiency of community medical service system in our country. Methods The non-parametric DEA model was used to calculate the relative efficiency scores of the national community health service agencies in 2009 and to compare the relative service efficiency in all regions. RESULTS: Nineteen regions were non-DEA-effective. From input-output redundancy analysis, inadequate investment was made in medical service agencies in 11 regions and beds in 14 regions, with redundancies in the three regions; in terms of output Analysis, the number of inpatient and education trainees in two districts, the rate of child health management in 15 regions and the status of disease prevention and control in 16 regions need to be improved. Conclusion Community medical services should strengthen medical service management and technology upgrading on the basis of supporting facilities. In addition to improving medical services, community health services should also improve other health service functions such as health care, disease prevention and rehabilitation.