伊朗初级卫生中心的成本和效率分析:微成本和数据包裹分析
Alireza Mahboub-Ahar1,2, Somayeh Khanlari3, Hasan Yusefzadeh4,5
1Department of Health Economics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Cost effectiveness and resource allocation : C/E
|August 1, 2024
概括
这项研究分析了初级医疗保健中心的成本和效率,揭示了显著的成本差异和未充分利用的能力. 优化资源配置可以在没有额外投资的情况下提高效率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
背景情况:
- 卫生综合体模型在城市和贫民窟地区提供初级医疗保健,Chamran健康综合体为超过57,000名居民提供服务.
- 关于单位成本的有限数据阻碍了有效的医疗保健决策.
- 本研究探讨了在初级保健机构中需要进行成本和效率分析的需求.
研究的目的:
- 分析卫生中心提供的服务的单位成本.
- 评估卫生中心的运营效率.
- 确定节约成本的机会和改善资源管理的领域.
主要方法:
- 使用直接和逐步分配方法的基于活动的成本计算 (ABC).
- 单位成本估计使用基于国家标准的假设情景.
- 以输入为导向的数据包裹分析 (DEA) 被用来衡量技术效率.
主要成果:
- 综合体总成本:2,841,897美元 (67%的直接成本,33%的间接成本).
- 平均单位成本从9美元 (接种疫苗) 到76美元 (职业健康) 之间.
- 平均技术效率为0.519,HC1和HC3表现出卓越的性能.
结论:
- 卫生中心之间存在显著的成本变化,需要在绩效管理和合同方面给予重视.
- 确定了有关人员和设施的现行和国家标准之间的差距.
- 在Chamran健康综合体内存在未开发的容量,可以通过更好的规划和对国家标准的潜在修订来实现.
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