Efficiency Analysis Of Rehabilitation Medical Service In Tertiary General Hospitals Based On DEA

Background:With social population aging is becoming increasingly serious, meeting people’s demand for medical services, and increasing the quality of life. Because rehabilitation medicine is one important department of modern medicine and rehabilitation medical service is one important department of medical service, rehabilitation department of general hospitals and rehabilitation hospitals provide medical services for improving life quality of the people who injuried or sickness or disabled, for returning to society, in order to lighten the economic burden on family and society. In recent years, the Minister of Health of the People’s Republic of China issued a number of policies to promote the development of rehabilitation medical, rehabilitation medicine is paid attention to develop. Hospitals which have rehabilitation medical services had put in the manpower, material resources, financial resources and other resources, make the scale expands unceasingly, improve service ability and medical service level, but what’s the efficiency of rehabilitation medical services is worth thinking about and discussed. Since 2011, when establish and perfect rehabilitation medical service system, each province has been achieved, but can not reach developed countries. Tertiary general hospitals play a important role in rehabilitation service system, The study choose tertiary general hospitals as objects, analysis tertiary general hospitals efficiency and benefit of rehabilitation medical service to allocate resources reasonably, to analysis factors which influence the efficiency, and to provide the basis for hospital managers to make plan.Objective:The data come from the reported data for pilot work about perfecting rehabilitation medical service system. There are many hospitals reported data in 2012, chosen 58 tertiary general hospitals.Methods:The study applies DEA-BCC model, VRS model which considers the scale benefit to calculate crste efficiency, vrste efficiency and scale efficiency of 58 tertiary general hospitals. Showing radial movement and slack movement by summary of peers. The relative efficiencies of hospitals are calculated with super-efficiency DEA model. Analyzing correlation of the main factors which can influence efficiency.Results:At present, there are many problems in all tertiary general hospitals, main reasons are that the rehabilitation professionals is lack, functional assessment is not inadequate, beds of rehabilitation department are redundant, average length of stay is too long, and so on. Especially rehabilitation physicians, therapists and rehabilitation nurse are shortage. The mean of crste efficiency is 0.537, the crste efficiency is low, there are efficiencies of 14 hospitals are better, there are 6 hospitals whose scale benefit are increasing, there are 17 hospitals scales benefit are decreasing. Efficiency of eastern and central regions are higher than in the western region. By SE-DEA model, the efficiency of H19 hospital is 12.08 and highest, its input is less and output is more. There are four groupss which divide into according to beds, comparing differences of four groups. The efficiency become increasing at first, then become decreasing, the efficiency of mall and medium-sized group whose bed is 23～40 is highest. Using correlation analysis, the rate between beds of rehabilitation department and beds of hospital and rehabilitation doctor per bed is negative correlation, efficiencies is negative correlation with average length of stay and the rate of technical error. Using U test and χtest, standard group of average length of stay(Z=-2.004,P=0.045), rehabilitation doctor per bed(χ2=4.194, P=0.044)are higher than the other one, so average length of stay and rehabilitation doctor per bed are main influence factors. The average length of stay is longer, the efficiency is lower, rehabilitation doctor per bed is more, the efficiency is higher. Inputs of 27 hospitals whose efficiencies are relatively ineffective are all redundant, some outputs are lack, resources can not be utilized.Conclusions and suggestions:There are large differences in rehabilitation units of tertiary general hospitals, rehabilitation total efficiency is low. The main problems that leads to lower efficiency are setting up too many beds in rehabilitation unit and lack human resources. Suggestions:enhancing propagandizing and promoting someone’s recognition; allocating resources rationally in order to promote efficiency; doing according to policies, promoting serving; evaluating rehabilitation medical service, constructing rehabilitation unit perfectly.