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Analysis of operational efficiency of third level public hospitals in Chongqing from the perspective of technical heterogeneity

TAN Hua-wei1,2,3, ZHENG Wan-hui1,2,3, ZHANG Yun1,2,3, YAN Wei-hua1,2,3, ZHU Xiao-ling1,2,3, LIU Xian1,2,3, ZHANG Pei-lin1,2,3   

  1. 1.Hospital Cost Management Research Center of Chongqing, Chongqing 400700, China; 2.the Ninth Peoples Hospital of Chongqing,Chongqing 400700, China; 3.Health Economics Association Secretariat of Chongqing,Chongqing 400700, China
  • Online:2016-07-28 Published:2016-08-31
  • Supported by:

    National Social Sciences Fund of China, 14BGL112; Projects of Medical Scientific Research of Health and Family Planning Commission of Chongqing, 20143044

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Abstract:

Objective To compare and analyze the operational efficiency of different types of third level public hospitals in Chongqing, estimate the degree of efficiency loss, and explore the causes of efficiency loss. Methods Data on major indexes of health care institutions in Chongqing from 2012 to 2014 were collected and analyzed by the non-parametric meta-frontier method. Results The average operational efficiency scores of third level public hospitals in Chongqing for meta-frontier and group-frontier were 0.763 and 0.854, respectively. The average operational efficiency score of Traditional Chinese Medicine (TCM) hospitals was the highest, followed by comprehensive hospitals and specialized hospitals. The average technique gap ratio of third level public hospitals in Chongqing was 0.894. The average technique gap ratio of comprehensive hospitals was the highest, followed by TCM hospitals and specialized hospitals. The average operational inefficiency score of third level public hospitals in Chongqing was 0.237. The average operational inefficiency score of specialized hospitals was the highest, followed by comprehensive hospitals and TCM hospitals. The contributions of technique gap inefficiency and management inefficiency in third level public hospitals in Chongqing were 38.20 and 63.80, those of comprehensive hospitals, TCM hospitals, and specialized hospitals were 38.20 and 63.80, 39.09 and 60.91, 67.68 and 32.32, and 25.64 and 74.36, respectively. Conclusion Third level public hospitals in Chongqing have significant technical heterogeneity and the technical heterogeneity in different types of third level public hospitals is significantly different. The causes of efficiency loss in different types of third level public hospitals are remarkably different. For comprehensive hospitals and specialized hospitals, the efficiency loss is mainly due to backward management level. While for TCM hospitals, the efficiency loss is mainly caused by backward technique level.

Key words: third level public hospitals, operational efficiency, technical heterogeneity, Chongqing