评估西班牙医疗保健系统的去中心化:数据包裹分析方法
Tamara Armenteros-Ruiz1, Alejandro Ballesteros-Ron1, Moisés Rodriguez-Mañero2
1Universidade de Santiago de Compostela Facultade de Ciencias Economicas e Empresariais, Santiago de Compostela, Spain.
BMJ open
|March 13, 2024
概括
分权化提高了西班牙国家卫生服务的效率. 区域政府在获得医疗保健能力后,显著提高了效率,特别是在巴莱尔群岛和马德里.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 该研究探讨了分散化对西班牙医院部门效率的影响.
- 它比较了中央与区域政府管理医疗保健服务的效率.
研究的目的:
- 为了确定中央或地区政府在医疗保健方面是否更有效.
- 评估去中心化对西班牙医院部门效率的影响.
主要方法:
- 使用数据包裹分析 (DEA) 来衡量效率.
- 分析涵盖了2001年获得医疗保健能力的10个自治区.
- 输入包括床位和工作人员;输出是基本护理单位.
主要成果:
- 在巴莱尔群岛 (+81.44%) 和马德里 (+63.77%) 等地区观察到显著的效率提高.
- 拉里奥哈 (La Rioja) 也表现出显著的改善 (+46.13%).
- 总的来说,卫生责任的转移提高了国家卫生服务的效率.
结论:
- 医疗保健责任的分散对西班牙国家卫生服务的效率产生了积极的影响.
- 区域管理在提高医疗保健提供效率方面已被证明是有效的.
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