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该文利用单元成本、生产率和数据包络分析 (DEA)等方法全面地测量了山东省淄博市与江苏省南通市1990~ 1999年县及县以上医院的医疗服务效率。通过测量结果可以发现 ,从 1990年到 1999年 ,医院服务的效率呈现一个下降的趋势 ,淄博下降的速度基本保持不变 ,而南通在 1997年后下降速度有所降低。在排除医疗服务本身内涵变化的前提下 ,我们分析了导致医院效率下降的主要原因并对医疗保险改革对医院服务效率的影响做了探讨
In this paper, the medical service efficiency of Zibo City, Shandong Province and Nantong City, Jiangsu Province from 1990 to 1999 were measured using unit cost, productivity, and data envelopment analysis (DEA) methods. From the measurement results, we can see that from 1990 to 1999, the efficiency of hospital services has shown a downward trend, and Zibo’s rate of decline has remained basically unchanged, while Nantong’s decline rate has decreased since 1997. Excluding the changes in the connotation of medical services, we analyzed the main reasons that led to the decline in hospital efficiency and discussed the impact of medical insurance reform on hospital service efficiency.