Analysis of Operating Efficiency of Tertiary Public Hospitals in Zhejiang Province Based on the Three-stage DEA Model / 中国医院管理

ABSTRACT

Objective To evaluate operating efficiency of 68 Zhejiang Provincial tertiary public hospitals in 2015 and analyze the reason of the efficiency differences among different types of hospitals so as to put forward correspondent policy suggestions.Methods Adopting the three-stage DEA model analysis upon filtering the external influencing factors and random error to the hospital and quantitatively evaluating the comprehensive technical efficiency,pure technical efficiency and scale efficiency of the hospitals.Results The result shows that it is necessary to carry out three-stage DEA model analysis.The mean value of hospital efficiency increases by 0.1,which is higher than before adjustment.Provincial hospitals efficiencies are higher than those of the non-provincial hospitals.Efficiencies of general hospitals are higher than those of the traditional Chinese Medicine(TCM) hospitals and the specialized hospitals.Conclusion Specialized hospitals utilize more resources than the TCM hospitals.The efficiency of provincial hospitals are relatively high,but they are facing the risk of excessive expansion.There is room for efficiency improvement.Prospective policies need to be initiated to make the hospital administrators change their management concept,control the scale of hospital,promote the fine management so as to achieve sustainable development.Furthermore,policies are needed to be adopted to support the development of TCM hospitals.