EA在我国城市医院效率评价中的应用
he application of DEA in evaluating the Chinese hospitals
本文采用两阶段分析法，分别是数据包络分析法（DEA）和Tobit回归分析方法，对我国02到03年间222家城市医院的经营绩效进行了分析与评价。在第一阶段里，使用数据包络分析法去估计各医院的经营效率，并用Malmquist生产力指数对医院的跨期动态生产力进行了分析。在第二阶段里，使用Tobit回归模型去估计对医院效率产生影响的因素。分析表明，（1）医院的整体效率并不高。（2）医院的总体效率是在提升的，主要是依靠技术进步的贡献。（3）大多数医院处于规模报酬递减的阶段。（4）二级医院的经营效率比三级医院的高。（5）门诊住院比例越高，医院的效率越高。
he paper evaluates the operation efficiency of 222 hospitals in cities from 2002 to 2003, in terms of the two-stage analysis method-the Date Envelopment Analysis (DEA) and the Tobit regression model. The first stage observes the hospitals’ efficiency by DEA, and the efficiency changes by Malmquist Productivity Index (MPI). In the second stage, the paper shows the items that affect the efficiency of the hospitals. The analysis shows: (1) The efficiency of the hospitals is not high. (2) The total efficiency of the hospital is rising, mainly depending on the improving of the technology. (3) Most of the hospitals are in the stage of decreasing returns to scale. (4) The efficiency of the second-class hospitals is better than the third-class hospitals. (5) The higher ratio of the out-patient clinic to the hospitalization, the better efficiency of the hospital.
梅宇佳
医学研究方法医药卫生理论
医院效率EAMalmquist指数obit回归
Hospital efficiencyata Envelopment AnalysisMPI indexobit regression
梅宇佳.EA在我国城市医院效率评价中的应用[EB/OL].(2009-07-31)[2025-05-19].http://www.paper.edu.cn/releasepaper/content/200907-664.点此复制
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