目的:评价乡镇卫生院基本医疗服务效率。为优化资源配置提供政策依据。方法:应用数据包络分析法评价江苏省淮阴区、盱眙县40家卫生院2012年上半年的服务效率,分析影响因素。结果:淮阴区卫生院的资源投入和服务提供总量均高于盱眙县,但纯技术效率有效的卫生院占比(47.6%)要明显低于盱眙(78.9%)。处于最佳规模效率水平的卫生院比重(38.1%)也要低于后者(57.9%)。结论:应采取综合治理模式统筹不同区域卫生院协调发展,着重提高医务人员的服务能力。
Objective: To evaluate basic medical service efficiency of township health centers(THCs)and provide evidence for optimizing resource allocation. Methods: Service efficiency of 40 THCs at Huaiyin and Xuyi Counties in Jiangsu during the first half year of 2012 was assessed by Data Envelopment Analysis and influencing factors were analyzed. Results: The amount of resource input and service provided of Huaiyin THCs were all higher than these of Xuyi, but it had lower ratio of THCs at high technical efficiency (47.6%) than Xuyi(78.9%), the ratio of THCs had best scale efficiency level(38.1%) than the latter(57.9%). Conclusion: Comprehensive strategies should be adopted to achieve balanced development among THCs at various regions and health workers' abilities should be upgraded.