Evaluating Efficiency Of Township Hospital In Anhui Province

BackgroundTownship hospitals as the hub of "the three prevention health care network of rural", play an important role in improving rural health and enhancing national health. The new health care reform proposed to vigorously develop the rural medical and health service system, perfect the rural health care net work which takes the country hospitals as the leading factor and township hospital and village clinics as the base, the development of primary health care institutions ushered in new opportunities. With the implementation of the new health care reform and financial investment gradually increase, the construction of township hospitals gradually improve, in this context, whether the township hospitals’rational allocation of resources and to maximize the output come true or not is the important issues to focus on. Therefore, evaluating the township hospitals’efficiency is important.ObjectivesThis thesis describes the township hospitals’efficiency change and input-output in the essential drug system pilot areas in Anhui providence, to provide scientific advice to further rationalize the allocation of health resources and promote the development of the hospital.MethodsThe data which this study uses constitute with secondary data and field survey data. The secondary data mainly related to the32pilot areas carry out the essential drug policy in Anhui providence, all township hospitals from2009to2011within three years, including data of the overall situation of the township hospitals, volume of services, income; field survey data in Shexian, Feixi to the two to survey the scene, the data of new rural cooperative operation and key informant interview are collected.Using Malmqusit index model and CCR, BCC to explore the changes of the efficiency for township hospitals run before and after the implementation of health reform, and sum up the qualitative interview data according to the purpose of our study.ResultsIn the present study, using data envelopment analysis methods, we found that the hospitals’ overall efficiency of the pilot areas show a downward trend during2009to2011for the year, in the year2009to2010, there were23pilot areas accounting for about79%.and the average of total factor productivity fell by17.4%, efficiency change and technical change decreased by3.8%and14.1%which both led to the decline in total factor productivity. Technological change is still in decline in the year2010to2011, but the overall total factor productivity increased.The hospitals’ overall efficiency change in the sample area during2009to2011year is consistent with the district basis, which present as a downward trend. By analysis the efficiency for45township hospitals of the year2011, only14hospitals’ overall effective,31hospitals overall efficiency of the value is less than I, the DEA effective rate was31.1%efficiency in2011. Only18hospitals purely technical;15hospitals reached to effective size.Conclusions and suggestionsBy the analysis of the township hospitals’dynamic efficiency and static efficiency in the pilot areas in Anhui Province, we found that run in the early stages of the basic drug system, the efficiency of the operation of the township hospitals decreased in varying degrees, but with the implementation of the basic drug system, township health hospital operating efficiency gradually enhanced.Meanwhile, by analyzing the2011township hospitals operating efficiency we found that in the existing scale of investment, the output of the township hospitals were not maximized, there was a waste of resources.For the problems identified, made the following recommendations:1. A reasonable allocation of health resources and improve the efficiency of resource use is necessary.2. The human resources need to be strengthened and improve the quality of health workers.3. The provision of township hospitals for public health services should be concerned.