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中国养老机构医养结合的绩效评估:两阶段数据包络分析

Performance Evaluation of Combining with Medical and Old-Age Care in Pension Institutions of China: A Two-Stage Data Envelopment Analysis.

作者信息

Du Na, Wu Peng, Yuan Man, Li Zhiwu

机构信息

Southern District of The Second Hospital of Shandong University, Jinan, People's Republic of China.

School of Economics and Management, Fuzhou University, Fuzhou, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2021 Oct 8;14:4211-4222. doi: 10.2147/RMHP.S332880. eCollection 2021.

Abstract

PURPOSE

The aim of this paper was to build a performance evaluation index system for the combination of medical and old-age care services in pension institutions of China.

METHODS

A two-stage data envelopment analysis (DEA) is used to evaluate the performance of 30 pension institutions in China.

RESULTS

The results show that the two-stage DEA accounted for a relatively high affiance of medical and nursing care services, but resource allocation still needs to be further optimized. Institutions with ineffective DEA need to reduce the five factors of operations, management, fixed assets, technology and services in the input dimension.

CONCLUSION

In the output dimension, the service evaluation effect and safety management effect need to be improved. The performance of combined old-age care and medical care in old-age institutions can be improved in terms of investment in fixed assets, methods of capital subsidies, supervision and management, as well as standardized operations.

摘要

目的

本文旨在构建中国养老机构医养结合服务的绩效评价指标体系。

方法

采用两阶段数据包络分析(DEA)对中国30家养老机构的绩效进行评价。

结果

结果表明,两阶段DEA对医疗护理服务的拟合度较高,但资源配置仍需进一步优化。DEA无效的机构需要在投入维度上减少运营、管理、固定资产、技术和服务这五个因素。

结论

在产出维度上,服务评价效果和安全管理效果有待提高。养老机构的医养结合绩效可在固定资产投入、资金补贴方式、监督管理以及规范运营等方面加以改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343b/8518464/dd75e000b383/RMHP-14-4211-g0001.jpg

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