摘要目的 了解深圳市社会办医院效率变化情况,分析影响社会办医院卫生资源利用效率的因素.方法 采用DEA-Tobit两阶段法,对2010年至2015年深圳市40家社会办医院的运行效率和影响因素进行分析.结果 社会办医院6年内技术效率为0.690~0.742,其全要素生产变化指数与技术变化指数一致,投入和产出指标呈现非线性增长;样本医院内部因素和外部因素共同制约其运行效率的提升.结论 两阶段法有效揭示了深圳市社会办医院的动态效率变化以及影响因素的作用程度.样本医院技术效率6年内呈波动式起伏,存在投入冗余和产出不足的现象.样本医院需要加强诊疗技术的创新应用,以强化内部管理,提升运行效率.

abstractsObjective To study the efficiency changes of private hospitals in Shenzhen and explore influencing factors for the utilization efficiency of health resources. Methods DEA-Tobit two-stage model was used to analyze the operating efficiency and influencing factors of Shenzhen′s private hospitals. Results The range of technical efficiency varied between 0.690 to 0.742 in six years, and the index of total factor production was consistent with the technical change index. The input and output indicators showed non-linear growth. The internal and external factors of sample hospitals jointly influence the efficiency of operation. Conclusions The two-stage method effectively reveals the dynamic efficiency change and the influencing factors of these hospitals in Shenzhen. The technical efficiency of sample hospitals fluctuates in waves in six years,with investment redundancy and insufficient output found. Sample hospitals need to strengthen their innovative application of diagnostic and therapeutic technology,and to strengthen their internal management and improve operating efficiency.