论文部分内容阅读
目的对综合性二级医疗机构的全要素生产率变动及其分解情况进行研究。方法运用DEA的Malmquist指数模型分析某地区14家二级综合医院2009—2011年全要素生产率变化情况。结果 14家医院中有9家(65.7%)医院全要素生产率提高,5家(34.3%)医院降低。有10家(71.4%)医院的全要素生产率的变化是技术变化和效率变化共同作用的结果,有4家(28.6%)医院主要受到技术变化的影响,5家生产率降低的医院中有3家医院表现为技术衰退。结论进一步提高医院的生产率,应把重点放在加强技术培训与创新上,加强医院内部管理,控制适宜的发展规模。
Objective To study the change of total factor productivity and its decomposition in comprehensive secondary medical institutions. Methods The DEA Malmquist index model was used to analyze the changes of total factor productivity in 14 second-level general hospitals in a certain area from 2009 to 2011. Results Nine of the 14 hospitals (65.7%) showed an increase in total factor productivity and 5 (34.3%) hospitals. The change in total factor productivity in 10 hospitals (71.4%) was the result of a combination of technological change and efficiency changes, with 4 (28.6%) hospitals mainly affected by technological change and 3 of 5 hospitals with reduced productivity The hospital showed a technical decline. Conclusion To further improve the productivity of the hospital, emphasis should be placed on strengthening technical training and innovation, strengthening internal management of the hospital and controlling the appropriate scale of development.