提高柬埔寨公共卫生中心的技术效率:两阶段数据包裹分析
Dominik Beiter1, Sokunthea Koy2, Steffen Flessa3
1Social Health Protection Programme, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Phnom Penh, Cambodia. d.beiter@gmx.net.
BMC health services research
|August 28, 2023
概括
许多柬埔寨的卫生中心效率低下,影响了资源使用. 提高服务利用率和质量可以提高技术效率,以改善医疗保健服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 柬埔寨正在实施改革,以实现全民健康覆盖.
- 了解医疗机构的低效率对于最佳的资源配置至关重要.
- 确保人民获得优质的医疗保健,需要提供高效的服务.
研究的目的:
- 评估柬埔寨卫生中心的技术效率.
- 确定导致卫生中心效率低下的因素.
主要方法:
- 采用43个卫生中心 (2016-2017年) 的二次数据进行的横截面研究.
- 数据包围分析 (DEA) 具有输出导向,用于计算效率得分.
- 托比特回归分析卫生中心效率低下的决定因素.
主要成果:
- 43%的卫生中心运行效率低下,平均纯技术效率为0.87.
- 51%的中心在最佳规模上显示出低于最佳的输出产量.
- 推医院距离,中心规模和质量表现等因素与低效率有显著的相关性.
结论:
- 在柬埔寨,卫生中心效率存在显著差异.
- 提高服务利用率和质量可以提高技术效率,尽管潜在的成本增加.
- 建议对技术效率进行持续监测,以跟踪随时间的性能变化.
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