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芬兰医院的医疗保健融资改革与生产率变化

Health care financing reform and the productivity change in Finnish hospitals.

作者信息

Linna M

机构信息

National Research and Development Centre for Welfare and Health, Helsinki, Finland.

出版信息

J Health Care Finance. 2000 Spring;26(3):83-100.

PMID:10728487
Abstract

The purpose of this study was to analyze productivity and efficiency changes in the production of hospital care in Finland during the period 1988-1994. A special interest was directed to years 1993-1994 because of health care financing reform that took place in 1993. The analysis is based on the Malmquist index approach using linear programming. Positive productivity changes were found particularly towards the end of the observation period, although a few years did not show significant improvements in productivity and efficiency. There was a significantly higher rate of productivity change in 1992-1993 and 1993-1994, suggesting that the state subsidy reform in 1993 may have strengthened hospitals' efforts to improve performance.

摘要

本研究的目的是分析1988 - 1994年期间芬兰医院护理生产中的生产率和效率变化。由于1993年进行了医疗保健融资改革,所以对1993 - 1994年特别关注。该分析基于使用线性规划的Malmquist指数方法。尽管有几年生产率和效率没有显著提高,但在观察期结束时尤其发现了积极的生产率变化。1992 - 1993年和1993 - 1994年的生产率变化率显著更高,这表明1993年的国家补贴改革可能加强了医院提高绩效的努力。

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