中文摘要：

目的评价我国医疗卫生机构的技术效率和子系统技术效率，即管理系统与医疗系统的技术效率。方法选取2010年至2014年我国31个省、自治区、直辖市医疗卫生机构的面板数据，应用NetworkDEA模型，对管理人员、卫生技术人员等投入指标和医疗收入、诊疗人次等产出指标进行评价。结果我国医疗卫生机构技术效率偏低，5年效率均值为0．853；浙江省、山东省、河南省、广东省和西藏自治区一直保持着较高水平。鉴于医疗资源的特性，将医疗卫生机构考虑成2个独立的内部系统，即管理系统和医疗系统，管理系统技术效率均值为0．937，高于医疗系统的0．783；非NetworkDEA有效地区产出变量，即医疗收入和诊疗人次数相对不足。结论我国医疗卫生资源配置有待优化，应继续调整投入产出结构，进一步强化科学管理，提高医疗服务质量。

英文摘要：

Objective To assess the technical efficiency and subsystem technical efficiency of the heahheare institutions in China, including that of management system and medical system. Methods Panel data of 31 provinces ＇ heahhcare institutions were selected, and Network DEA was adopted to assess such input indicators as managerial staff and health technical personnel, and such output indicators as medical revenue and number of medical visits. Results Tile technical efficiency of heahhcare institutions is as lower as an efficiency mean of 0. 853 in five year. Provinces of Zhejiang, Shandong, Henan, Guangdong and Tibet have maintained a higher level. The heahhcare system breaks down into two independent subsystems of the management subsystem and medical subsystem. The mean of the former one is 0. 937, higher than 0. 783 of the latter. The number of medical revenue and that of patients in the non - effective provinces were relatively inadequate. Conclusions Heahhcare resources allocation in China needs to be optimized. It is imperative to adjust the input -output ratio, improve medical service cluality via scientific management.