Guangzhou City Chinese Traditional Medicine Medical Development Effectiveness Evaluation ResourceAllocation Data Envelopment Analysis
广州市哲学社会科学发展“十三五”规划2020年度课题（2020GZYB62）
目的：评价广州市中医医院自中医药强省建设15年来的医疗卫生服务及卫生资源配置状况。方法：对2007年-2019年广州市中医医院的医疗卫生数据进行纵向时间序列分析，选取2018年广州市37所中医医院作为研究对象并分析其卫生资源配置的现状，从医院等级和性质的角度进行卫生资源配置的差异对比，并进行数据包络分析。结果：广州市中医医院以二级、三级医院和公立医院为主，其在卫生规模、卫生资源、卫生医疗服务等方面都有一定程度的增长和完善，尤其是在“十一五”规划期间总体增速明显。2018年广州市中医医院的综合效率、纯技术效率和规模效率的均值分别为0.50、0.70、0.73。结论：绝大部分的中医医院未达到最优的卫生资源配置效率和最佳的规模状态，需要针对性地扩大一级中医医院和部分二级中医医院的规模并提高其卫生资源配置的技术效率，尽量减少卫生资源在投入和产出过程中产生的冗余和不足。
Objective：To evaluate the medical and health services and health resource allocation of Guangzhou traditional Chinese medicine hospital since its establishment as a strong province of traditional Chinese medicinein the past 15 years. Methods：The medical and health data of traditional Chinese medicine hospitals in Guangzhou from 2007 to 2019 were analyzed byvertical time series analysis. 37 traditional Chinese medicine hospitals in Guangzhou in 2018 were selected as the research objects，and the current situation of health resource allocation was analyzed. The differences of health resource allocation were compared from the perspective of hospital level and nature，and the data envelopment analysis was carried out. Results：TCM hospitals in Guangzhou are mainly secondary，tertiary and public hospitals，which have increased and improved in health scale，health resources and health care services to a certain extent.Especially during the "Eleventh Five-Year Plan" period，the overall growth rate was obvious. In 2018，the average values of comprehensive efficiency，pure technical efficiency and scale efficiency of TCM hospitals in Guangzhou were 0.50，0.70 and 0.73 respectively. Conclusion：The vast majority of traditional Chinese medicine hospitals have not reached the optimal efficiency and scale of health resource allocation. It is necessary to expand the scale of primary and secondary traditional Chinese medicine hospitals，improve the technical efficiency of health resource allocation，minimize the redundancy and shortage of health resources in the process of input and output.