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中文摘要: 目的 基于DEA－BCC模型，评价常熟市29家公立医院2014—2018年5年的运行效率，为新一轮公立医疗机构改革
决策者提供数据与理论支持。方法 选取常熟市 29 家公立医院 2014—2018 年的年报数据并筛选出投入产出指标，采用
DEA－BCC 模型分析效率与报酬状态。结果 29 家公立医院年均综合效率由 0.841 提高至 0.938，纯技术效率由 0.926 提高至
0.970，规模效率由0.905提高至0.966，DEA有效的医院由13家(44.83%)增长至16家(55.17%)；规模效益递增由16家（55.17%）
减少到9家（31.03%）；规模效益递减由0家增加到4家（13.79%）。结论 29家公立医院综合效率整体有所提升，但仍有部分医
院存在资源利用不充分或过剩的问题，整体呈规模、技术提高趋势。常熟市公立医疗机构改革应将重点放在整合医疗卫生资
源，实现最优投入产出；明确各级功能定位，一体化、差异化发展；加强医院内部管理，提高资源利用效率。
Abstract:OBJECTIVE To provide data and theoretical support for the decision-makers of the new public medical institu⁃
tion reform, the operating efficiency of 29 public hospitals in Changshu from 2014 to 2018 were evaluated basing on the
DEA model. METHODS Input-output indicators were selected from annual report data of 29 public hospitals in Changshu
city from 2014 to 2018. DEA model was used to analyze efficiency and remuneration status. RESULTS The average annu⁃
al comprehensive efficiency of 29 public hospitals increased from 0.841 to 0.938, the pure technical efficiency increased
from 0.926 to 0.970, and the scale efficiency increased from 0.905 to 0.966. The effective hospitals increased from 13
(44.83%) to 16 (55.17%). Increasing economies of scale decreased from 16 (55.17%) to 9 (31.03%); Diminishing econo⁃
mies of scale increased from 0 to 4 (13.79%). CONCLUSION The overall efficiency of 29 hospitals had been improved,
however some hospitals still had the problem of insufficient or surplus utilization of resources. The reform of public medi⁃
cal institutions in Changshu emphasized on integrating medical and health resources to achieve optimal input and output,
defining the functional positioning at all levels and develop in an integrated and differentiated way; strengthening hospi⁃
tal internal management, improving the efficiency of resource utilization
文章编号：3202005003 中图分类号：R197 文献标志码：
基金项目:
| 作者 | 单位 |
| 吴静娜①，王志强②#，仲晓伟③ |
| Author Name | Affiliation |
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