Evaluation Of Service Efficiency Of Chinese Community Health Service Institutions Based On DEA And Its Promotion Strategy Research

Since the new medical reform in 2009,the status and role of community health service institutions in my country’s medical and health system have been significantly improved,playing the key role of “gatekeeper” in the urban hierarchical diagnosis and treatment system,and providing basic medical and public health services for urban residents The "net bottom" function.However,at the current stage,the allocation structure of health resources and residents’ health service needs show an "inverted triangle" imbalance between supply and demand,which in turn triggers the disorderly flow of residents’ medical treatment,resulting in large hospitals and grassroots health service institutions.The phenomenon of polarization.Especially in urban areas where high-quality health resources are more abundant and concentrated,the operational development status and resource utilization efficiency of community health service agencies are more worrying.This is not only contrary to the original intention of the medical reform policy,but also restricts the problem of difficult and expensive medical treatment for the masses.In order to evaluate the medical and health service efficiency of domestic community health service institutions from multiple dimensions and perspectives in the past ten years,discover problems in primary medical services,and provide decision-making reference for government departments to formulate and optimize relevant policies,this research comprehensively uses management,Statistics and economics theories,through cross-sectional static analysis,the overall evaluation of the service efficiency of China’s community health service institutions,clarification of the existing weaknesses and targeted improvement strategies,through the longitudinal dynamic analysis of China’s communities since the new medical reform The changing trend of the service efficiency of health service institutions is also of very important practical significance for further clarifying the operation status of community health service institutions and timely adjusting relevant development policies.Using data envelopment analysis(DEA)BCC and Malmquist index models,select the operating data of community health service institutions in 30 domestic provinces,cities,and autonomous regions(excluding Tibet,Hong Kong,Macao and Taiwan)as independent decision-making sample units,namely Research object.Select the number of community health service institutions,the number of beds,and the number of health technicians as input indicators;the total number of consultations,the number of family health services,and the number of hospital admissions are used as output indicators.An empirical study of service efficiency was carried out,and a cross-sectional static analysis and longitudinal analysis were carried out.Dynamic analysis,empirical analysis based on the model results passed by the empirical test.Studies have shown that in 2019,among the 30 provinces in the country,only 7provinces have effective DEA in the service efficiency of community health service institutions,8 provinces have weak DEA,and 15 provinces have DEA ineffective.Input redundancy exists in 13 provinces;15 provinces under the condition of certain health input,there is obviously insufficient output.It is manifested that the number of visits for diagnosis and treatment and the number of home health services are low,and the relaxation value of the number of admissions is greater than 0,which does not reach the target value.The average total factor productivity of community health service institutions in the eastern,central,and western regions of my country were 0.989,1.041,and 1.029,respectively.Among them,the central region’s total factor productivity increased the most,with an average growth rate of 4.1%,followed by the western region,which increased by2.9%,and the eastern region.A decrease of 1.1%.The survey shows that the overall service efficiency of community health service institutions in my country is low at this stage;the service efficiency of community health service institutions has shown an increasing trend from 2009 to 2019,and technological progress has strongly promoted the improvement of service efficiency of community health service institutions;in the past decade,The service efficiency in the western region has achieved positive growth,and the growth rate in the central region is higher than that in the western region.The service efficiency in the eastern region has declined,and there are obvious regional differences in service efficiency.In order to better improve and enhance the service efficiency of community health service institutions,it is recommended that the following measures should be strengthened:(1)Increase resource input and improve the overall level of community health services;(2)Adjust measures to local conditions and improve the science of regional primary health planning(3)Take multiple measures at the same time to strengthen the construction of community health service talents;(4)Strengthen publicity and education,and guide residents to rationally change their medical concepts.