“管办分离”改革前后医疗服务效率的比较研究

《“管办分离”改革前后医疗服务效率的比较研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、上海市公立医疗机构“管办分离”改革前后医疗服务效率的比较研究HEALTHCAREEFFICIENCYCOMPARISONRESEARCHBEFOREANDAFTERTHEREFORMOF“DIVISIONBETWEENPUBLICHOSPITALREGULATIONANDMANAGEMENTAFFAIRES”INCITYHOSPITALSOFSHANGHAIABSTRACTObjectiveTheresearchhastwopurposes.Thefirstpurposeistounderstandthetechnicalefficiencyofpublichospitalsi

2、nShanghaiandmakerecommendationstoimproveefficiencyofhospitalresourceutilization.Andsecondly,toexploretherelationshipbetweenthereformof“divisionbetweenpublichospitalregulationandmanagementaffaires”practicedinShanghaiinrecentyearsandtheefficiencychangeinthesepublichospitals,inordertoprovidethe

3、basisformakingthepolicybetter.MethodsInthisstudy,theresearchmethodsusedliteraturereviewandcomparativestudy.Focusedon18publichospitalsinShanghai,collectedtheirannualreportsfrom2004to2007andinterviewsliterature,usedratioanalysisandstochasticfrontiercostmodelofpaneldatatomeasuretechnicalefficie

4、ncy,andfindoutmaincausesofinefficiencyusingmultiplyregressionanalysis.ResultsTheoreticalStudiesfindthatthereformof“divisionbetweenpublichospitalregulationandmanagementaffaires”inChinahasvaryingmodesandmanyproblemsexposedinthepractices.FurtherempiricalAnalysistowardShanghaiindicatedthatitsref

5、ormhasnoinfluenceonhospitalefficiency.Theaverageinefficiencyof18publichospitalswas11.88%,thecausesofinefficiencyliedinthedistortedmedicalserviceprice,highhumanresourcecost,wasteofresourcesandfacilitiesandpoor3上海市公立医疗机构“管办分离”改革前后医疗服务效率的比较研究performanceoffinancialassistance.ConclusionTheresearc

6、hprovidespolicyadvicesofcomprehensivereformandmeasurestoraiseefficiencyasfollow:settingupgovernancestructure;perfectingthemonitoringsystems;improvingtheperformanceoffinancialassistance;readjustingmedicalserviceprice;strengtheningofhospitalcostcontrol;raisingenthusiasmofmedicalstaff.KEYWORDSt

7、hereformof“divisionbetweenpublichospitalregulationandmanagementaffaires”,healthcareefficiency,stochasticfrontieranalysis,paneldata4上海市公立医疗机构“管办分离”改革前后医疗服务效率的比较研究前言当前，面对群众普遍抱怨“看病难、看病贵”和医疗服务效率不高的问题，及全面建设小康社会，让人民群众分享经济社会发展成果的目标，如何深化医疗卫生体制改革，推进公立医院管理体制