中文摘要：

目的 研究新医改以来山东省部分县级公立医院综合效率、技术效率和规模效率变化情况。方法通过现场调研、数据整理和分析等过程,利用数据包络分析法（DEA）,测算从2010—2013年山东省10个县级公立医院的综合效率、技术效率和规模效率得分情况。结果 自新医改以来,10家县级公立医院中,有4家医院的规模收益不变,一直保持较好的运行效率;有2家医院一直处于规模收益递增;有1家医院一直处于规模收益递减;其他3家医院规模收益增减互现。结论 新医改以来,随着诸多改革政策的深入实施,对医疗机构运行的影响逐步显现,特别是县级公立医院的生产规模,呈现不同程度的分化状态。

英文摘要：

Objective To analyze the changes in overall,technical, and scale efficiency of county public hospitals in Shandong province under new medical reform background. Methods Using data envelopment analysis （DEA） software 2. 1, we calculated overall, technical, and scale efficiency scores of 10 county public hospitals during the period from 2010 to 2013 with the new medical reform. Results Of the 10 county public hospitals during the period,4 were in the condi- tion of constant return to scale;2 were in increasing returns to scale; only one was in decreasing returns to scale; and other 3 in the condition of variable returns to scale. Conclusion The impact of the new medical reform on the operation of medical institutions manifests graduaUy, and the impact upon the return to scale is different among county public hospitals in Shandong province.