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目的:基于卫生服务系统的投入产出效率评价指标体系,分析湖南省各市州社区卫生服务系统的效率。方法:采用超效率DEA模型,利用2011年湖南省14市州国家基本公共卫生服务项目考核评估资料以及卫生统计报表数据进行分析。结果:湖南省各市州社区卫生服务资源没有得到充分利用,各市州运行效率不平衡;1/3的市州出现规模收益递减状况,具体表现在技术效率低于规模效率,人员与机构投入冗余和服务量产出不足并存。结论:提高社区卫生技术人员的基本素质,引导社区机构规模的合理发展,是进一步完善社区卫生服务所需要关注的问题。
OBJECTIVE: To analyze the efficiency of community health service system in all cities and prefectures in Hunan Province based on the evaluation index system of input-output efficiency of health service system. Methods: By using DEA model, the data of 14 state basic public health service projects in Hunan Province in 2011 were analyzed and the data of health statistics were analyzed. Results: The resources of community health service in cities and prefectures in Hunan Province were not fully utilized, and the operating efficiency of cities and prefectures was not balanced. One-third of cities and prefectures experienced decreasing returns to scale, which was manifested in the following factors: technical efficiency was lower than that of economies of scale; And the lack of co-existence of service output. Conclusion: Improving the basic qualities of community health technicians and guiding the reasonable development of community institutions is a problem that needs attention in further improving community health services.