Trial Reform Of Public Hospitals At The County Level In Fujian Province Efficiency Analysis

Objective: The county level public hospital is responsible to more than 900 million county level inhabitant’s medical services. The county level public hospital is responsible for the region the health service center and the countryside three level of health service network important task, who is safeguarding the populace most basic medical service, the health care, the recovery, the infectious disease prevents and controls, aspects and so on solution common disease and frequently-occurring disease is extremely important. Today, the public hospitals at the county level deviated from its own public, lack of social functions, and more "difficult to see a doctor, see a doctor expensive" problem occurs, reform of public hospitals at the county level became the focus of a new round of health reform battle. In this context, research on operating efficiencies of the pilot reform of public hospitals at county level, not only helps to provide efficiency in public hospitals at the county level, better for the public hospitals at the county level to further reforms and policy adjustments to certain data and reference.Methods:This article selected 25 Fujian Province county level public hospitals through the sampling method to reform the experiment site to take the appraisal object. Has screened the appraisal target using the literature retrieval law to use, to cover the county level public hospital to reform in the experiment site the manpower, the physical resource, the financial resource aspect. Uses in the data envelope analytic method the CCR model, the BCC model analysis Fujian Province county level public hospital reforms the experiment site organization putting into production and the efficiency present situation, is unifies Fujian Province this province the local situation to differentiate the coastal area and the mountainous area region, reformed the experiment site to the county level public hospital to carry on the crosswise year analysis and longitudinal carries over to the next year the analysis, the article has established the comprehensive appraisal system.Results: 2012-2014 year Fujian Province 25 county level public hospitals reform the experiment site the comprehensive efficiency not to be high. In 2012 synthesizes the efficiency effective county level public hospital to altogether have 12, accounts for the total 48%, the coastal area has 7, accounts for the coastal area total 46.67%, the mountainous area region has 5, accounts for the mountainous area hospital total 50%; In 2013 synthesizes the efficiency effective county level public hospital to altogether have 9, accounts for the total 36%, the coastal area has 5 hospital comprehensive efficiency values is 1, accounts for the coastal area total 33.33%, the mountainous area region has 4, accounts for the mountainous area hospital total 40%; In 2014 synthesizes the efficiency effective county level public hospital to altogether have 14, accounts for the total 56%, the coastal area has 8, accounts for the coastal area total 53.33%, the mountainous area region has 6, accounts for the mountainous area hospital total 60%.In 2012 in the Fujian 25 county level public hospitals altogether has 12 merely technical efficiency value is 1, accounts for the total 48%; In 2013 altogether has 10 county level public hospital merely technical efficiency values is 1, accounts for the total 40%; In 2014 altogether has 16 county level public hospital merely technical efficiency values is 1, accounts for the total 64%. Moreover is not 1 county level public hospital carries on the statistical analysis to the merely technical efficiency value, discovers the hospital relatively the net efficiency value quite strongly Between in 0. 800 to 0. 899 and 0. 900 to 0. 999. In 2012 the scale efficiency value is 1 altogether 12, accounts for the total 48%, the scale reward increases progressively has 5, accounts for the total 20%, the scale diminishing returns have 8, accounts for the total 32%; In 2013 the scale efficiency value is 1 altogether 9, accounts for the total 36%, the scale reward increasing has 9, accounts for the total 36%, the scale diminishing returns have 7, accounts for the total 28%; In 2014 the scale efficiency value is 1 altogether 14, accounts for the total 56%, the scale reward increasing has 7, accounts for the total 28%, the scale diminishing returns have 4, accounts for the total 16%.If achieved DEA is effective, during 2012-2014 year the health technical personnel may reduce 637 people, saves bed 344, the fixed asset total amount 733,010,000 Yuan, corresponding may increase always diagnose and treat people of 109709 people, the year service receive 957,060,000 Yuan and the hospital bed utilization ratio 15.06%.Conclusion:Through the reform of public hospitals at the county level in Fujian province in 2012-2014 pilot run efficiency analysis, the pilot reform of public hospitals at the county level comprehensive hospital effectively is not high, in the existing scale level, still have not been fully utilization of resources, can pilot reform of public hospitals at the county level by optimizing the public hospitals at the county level health resource allocation, improve the use efficiency, attaches great importance to the talent team construction, improve the quality of the health technical personnel, strengthening regional cooperation, the optimization of technology and management philosophy three aspects to improve operation efficiency.