Study On The Operating Efficiency Of Public Hospitals At County Level Before And After The Reform In Xinjiang

Objective: Through the analysis and evaluation of the allocation of resources in the Xinjiang pilot reform of public hospitals at the county level, service ability and the efficiency of the change, explore Xinjiang county public hospital reform implementation and existing problems and put forward corresponding suggestions and countermeasures. Methods: Describe and analyze the basic situation of the sample hospital(manpower, material resources, financial resources), and use the data envelopment analysis(DEA) to evaluate the efficiency of hospital operation. Results: 2010-2014 on-the-job worker number showed an overall growth trend, clinic visits a growth trend, 2014 outpatient and emergency visits, hospitalizations were compared to 2013 increased. The efficiency of health services in the 5 pilot hospitals is not consistent. In 2014, H1, H2, H3, H4 hospital bed efficiency is reduced, and the work efficiency of H5 hospital bed is improved. 4 hospitals in 2014 were significantly lower than the proportion of medicine in 2013, a significant increase in financial assistance. 2014 asset liability ratio increased, net asset growth rate decreased. DEA model results show that in 2014 H3, H4, H5 pilot hospitals to achieve a fixed size of remuneration, H1 hospital, the size of diminishing returns, H2 hospital, increasing returns to scale. H2 2010-2014 hospital total factor productivity decreased, and the remaining 4 hospitals increased.Conclusions: Since the implementation of reform of pilot hospital medical service conditions improved, increasing the amount of health resources, rise in the number of medical services, and the township hospitals of counterpart support in a down-to-earth manner, 2014 part of the pilot hospital running efficiency and total factor productivity improvement, each region has its own characteristics of the reform. But still faces the health personnel education level is not high, the work efficiency is low, the overall efficiency of some hospitals declined, the allocation of health resources is unreasonable, the lack of economic security and other issues in the pilot hospital reform. It is suggested to strengthen the construction of talents, improve the ability, rational allocation, use of health resources, strengthen the management of basic drugs, reasonably adjust the price of medical services, increase government investment, strengthen hospital management and so on.