Measurement And Analysis Of The Input-output Efficiency, Based On The Dea's Government-run Hospital Of Chinese Medicine

With the development of the national macro health environment , the hospitals have payed much attention to the operation management. An external evaluation on the hospital productivity will not only be useful to the hospital management, but also useful to the traditional Chinese medicine administration department . Therefore, the paper try to make a reasonable evaluation on the government organized Chinese medicine hospital's productivity. First of all, the paper analyzed the hospital's productivity in 2006; second, the paper analyzed the hospital's productivity change from 2002 to 2006. Both the two analysis were based on the DEA method , including CCR model,BCC model,Malmquist index.The first part of the analysis is the calculation of productivity of the 127 third-level Chinese medicine hospitals and the 925 second-level Chinese medicine hospitals in 2006.In 2006, the average technical efficiency of the 127 third-level Chinese medicine hospitals was 0.893,the average pure technical efficiency was 0.935,the average scale efficiency was 0.957. There were 34 DEA effective hospitals, which formed the product frontier of the 127 hospitals. Ranked by the number of the DEA effective hospitals, Zhejiang ranked 1, Guangdong ranked 2,Jiangsu ranked 3, Shandong ranked 4, Shanghai ranked 5.The average technical efficiency of the 925 second-level Chinese medicine hospitals was 0.678,the average pure technical efficiency was 0.716,the average scale efficiency was 0.953. There were 54 DEA effective hospitals, which formed the product frontier of the 925 hospitals. Ranked by the number of the DEA effective hospital, Sichuan ranked 1, Neimenggu ranked 2, Fujian ranked 3, Jiangsu ranked 4, Qinghai ranked 5.The second part of the analysis is the calculation of productivity change of the 86 third-level Chinese medicine hospitals and the 521 second-level Chinese medicine hospitals from 2002 to 2006.From 2002 to 2006, the annual TFP(total factor productivity) change of the 86 third-level Chinese medicine hospitals was 1.0%; including the 1.3% annual TECH(technological change). As for the 521 second-level Chinese hospitals, the annual TFP change was 2.0%; including the 4.0% annual TECH. As a whole , compared with the government organized second-level Chinese medicine hospitals , the third-level Chinese medicine hospital's technical efficiency was higher, and the variation was lower. As to the TFP change , both the third-level Chinese medicine hospitals and the second-level Chinese medicine hospitals had the positive improvement. The latter had the faster speed.Take Beijing for example:as a whole, the Beijing Chinese medicine hospitals developed well on the efficiency. Both the TE and the TFP of the Beijng third-level Chinese medicine hospitals were better than the national average level. So were the Beijng second-level Chinese medicine hospitals. The problems are as follows: the first, part of the third-level Chinese medicine hospitals didn't make effective use of the current assets. The second, the second-level Chinese medicine hospitals didn't make full use of the medical resource, especially the permanent assets. The third, the second-level Chinese medicine hospitals were different on the trend of the TFPCH. Take H1 for example:the hospital's TE ranked 5th during the 6 Beijing third-level Chinese medicine hospitals. From 2002 to 2006, the hospital developed well on the TFP. The annual TFPCH was 4.0%, including the 1.8% annual TECHCH,the 1.72% annual PECH and 0.5% annual SECH. The problem was that it was not efficient enough on the use of the medical resource, especially the current assets.Based on the calculation and the analysis, the 4th part of the paper pointed out the problem about the hospitals'efficiency and bring out the suggestion.