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目的评价湖南省乡镇卫生院2000～2008年的动态效率。方法采用DEA-Malmquist指数模型,分析湖南省两类共281所乡镇卫生院2000～2008年全要素生产率及其分解项的变化情况。结果该281所样本卫生院中,规模效率提高的卫生院数<50%,而全要素生产率提高、技术提高、整体效率提高和技术效率提高的卫生院数均>50%。进一步分析结果显示,技术提高、整体效率提高是实现全要素生产率改善的最佳途径,技术效率提高、规模效率提高则是实现整体效率改善的最佳途径。结论改善规模效率是中心卫生院发展的关注重点,提高技术是一般卫生院发展的关注重点。
Objective To evaluate the dynamic efficiency of township hospitals in Hunan Province from 2000 to 2008. Methods The DEA-Malmquist index model was used to analyze the changes of total factor productivity and its decomposition items in 281 township hospitals in Hunan province from 2000 to 2008. Results Among the 281 sample hospitals, the number of clinics with increased scale efficiency was <50%, while the number of clinics with improved TFP, higher technology, overall efficiency and higher technical efficiency was> 50%. Further analysis shows that the improvement of technology and overall efficiency are the best ways to achieve the improvement of total factor productivity. The improvement of technical efficiency and the improvement of scale efficiency are the best ways to achieve the overall efficiency improvement. Conclusion The improvement of scale efficiency is the focus of attention in the development of central hospital, and improving technology is the focus of attention in the development of general hospitals.