山东省城市社区卫生服务机构效率评价

目的:分析山东省城市社区卫生服务机构的投入、产出情况,为社区卫生服务机构优化资源配置提供政策依据。方法:采用随机抽样的方法选择山东省27个城市社区卫生服务机构,采用C2R模型对投入产出指标进行数据包络分析(DEA)。结果:27所社区卫生服务机构中,13所DEA有效,有效率为48.19%。投影分析显示,14所非DEA有效的社区卫生机构如果通过改进和优化转变为DEA有效,固定资产总投资可减少508.96万元,总支出每年减少135.89万元,减少职工总数8人;总收入每年增加13.15万元,医疗服务总量增加240 691单位,公共卫生服务总量增加70 250.93单位。结论:山东省有超过一半的社区卫生服务机构都存在效率相对不足,提高这部分社区卫生服务机构的服务效率,可节约卫生资源投入,提高卫生服务产出,优化卫生资源配置。

Evaluation on efficiency of Community Health Service Organizations in Shandong Province

Objective: To analyze the input and output situation of community health service organizations in Shandong Province and to provide policy advice for optimization allocation of resources in community health service organizations.Methods: 27 community health service organizations in Shandong Province were randomly chosen and all input and output data were collected,which were analyzed by Data Envelop Analysis(DEA) using C2R model.Results: 13 out of 27 community health service organizations are efficient according to DEA.The overall efficient rate is 48.19%.While the leftover 14 ones which are incomplete efficient,if performances improved,will reduce total investment on fixed assets by 5.089 6 million yuan,gross expenditure by 1.358 9 million yuan,staff amount by 8 persons,and increase gross income by 131.46 thousand yuan annually,health services by 240 691 units,public health services by 70 250.93 units.Conclusion: Over half of community health service organizations in Shandong Province are uncompleted efficiently.Increasing service efficiency can be economical on input of health resources,improve health outcomes and optimize health resources allocation.