目的:评价2008—2012年江苏省12个市的社区卫生服务中心服务效率,提出提高社区卫生服务效率的建议。方法:采用数据包络分析法(DEA)的基于固定规模报酬假定的CCR模型、基于可变规模报酬假定的BCC模型、超效率模型来评价2008—2012年江苏省12市的社区卫生服务中心效率。结果:2008年江苏省33.3%的市社区卫生服务效率DEA有效,2009年41.7%的市有效。2010年58.3%的市有效,2011年50%的市有效,2012年58.3%的市有效。结论:医保政策与服务能力影响社区卫生服务中心服务量,政府政策影响社区卫生服务中心的服务效率,应根据服务效率进行卫生资源配置。
Objective: To evaluate the efficiency of twelve cities'community health service centers from 2008 to 2012 in Jiangsu province, to propose recommendations for increasing the efficiency of community health service. Methods: The DEAg CCR model, BCC model and super - efficient model were used to evaluate the efficiency of twelve cities'community health service centers from 2008 to 2012 in Jiangsu province. Results: In 2008, totally 33.3% community health service centers'DEA in Jiangsu province was effective; in 2009, 41.7% community health service centers" DEA in Jiangsu province was effective; in 2010, 58.3% community health service centers" DEA in Jiangsu province was effective; in 2011, 50% community health service centers'DEA in Jiangsu province was effective ; in 2012, 58.3% community health service centers'DEA in Jiangsu province was effective. Conclusion: The service ability and health insurance policy influence the capacity of community health service centers, government policies affect the efficiency of community health service centers, and the health resources allocation should be based on service efficiency.