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目的:分析近10年来上海大型三级甲等医院相对效率的变化情况。方法:收集上海市8所三级甲等医院的相关数据,描述性分析其基本情况的变化,并利用三种DEA模型进行综合评价。结果:2014年总体效率值达到1,即同时为技术有效和规模有效,该年度的规模收益不变,达到最优产出规模点。总体上,2005—2014年的10年间,纳入研究的三级甲等医院的总体规模没有明显扩张,但是,服务产出实现了大幅度增加。结论:上海市重视大型三级甲等医院内部结构调整,促使其不断提升生产效率,于2014年实现技术和规模总体有效。
Objective: To analyze the changes of the relative efficiency of the large-scale tertiary hospitals in Shanghai in the recent 10 years. Methods: Relevant data of 8 tertiary level hospitals in Shanghai were collected, the changes of their basic situation were described descriptively, and the three DEA models were used for comprehensive evaluation. Results: In 2014, the overall efficiency value reached 1, that is, both the technology efficiency and the scale were effective at the same time. The scale returns in this year remained unchanged, reaching the optimal output scale. Overall, there was no significant expansion in the overall size of Grade A First-Class Hospitals under study in the 10-year period from 2005 to 2014. However, service output has risen sharply. Conclusion: Shanghai attaches great importance to the internal restructuring of large-scale tertiary-level hospitals so as to promote its continuous improvement in production efficiency. In 2014, Shanghai achieved overall effective technology and scale.