Empirical analysis and evaluation on diachronic dynamic and synchronic compare operating efficiency of hospitals

Abstract

Objective To probe into the varying efficiency of public hospitals and recommend on efficiency improvement. Methods By means of DEA method including CCR model, BCC model and Malmquist index, to study the static and dynamic changes of operating efficiency of hospitals in Tianjin from 2008 to 2012. Results The overall efficiency of these 24 hospitals is not high, and the efficiency of the tertiary hospitals (0.900) is higher than the second-level hospitals(0.828). There exist problems that the size of the second-level hospitals is either too big or too small, a lot of health resources can be saved by managing the non-DEA efficient hospitals. The trends of the total factor productivity of 24 hospitals in Tianjin from 2008 to 2012 are increased. Thanks to the advanced technology and innovation, the overall efficiency of tertiary hospitals is improved. Through improving organizational management level, the overall efficiency of second-level hospitals is improved. Conclusion Hospital managers should introduce the high-level medical workers, enhance technological innovation, improve and standardize the hospital management and service system, optimize the allocation of medical resources and select the appropriate size of the hospital with the hospital's own situation to improve the operating efficiency of the public hospitals. Key words: Data envelopment analysis; Malmquist index; Hospital; Efficiency