摘要
Abstract
Objective To evaluate the fund utilization efficiency of basic public health services in the communities of Binhai New Area of Tianjin and to find out the problems in order to provide references for policy making. Methods In 2013,we enrolled all 14 community health service centers in Binhai New Area,including 6 centers( A、B、C、D、E、F)in Tanggu,4 centers( G、H、I、J)in Hangu and 4 centers( K、L、M、N)in Dagang. We examined a series of indicators,among which 2 were input indicators, including community basic public health service expenditure and national basic public health service subsidy,and 6 were output indicators,including the number of residents with health records,children aged 0 to 6 under health management,pregnant and lying - in women under health management, elderly people aged more than 65 under health management,people under hypertension management and people under diabetes management. The fund utilization efficiency of community basic public health services was evaluated using DEAP 2. 1 software package. Results The average overall efficiency, pure technical efficiency,and scale efficiency of the 14 community health service centers were 0. 746,0. 934 and 0. 805. Among the 14 community health service centers,6 centers showed effectiveness in DEA with constant returns to scale,and 8 centers showed ineffectiveness in DEA with progressive decrease in scale. Conclusion The fund utilization efficiency of basic public health services in the communities of Binhai New area of Tianjin needs further improvement. Scientific management theory should be used to promote service function,innovative fund input mechanism should be adopted to increase fund utilization efficiency, the pattern of health care should be well designed in order to make the best use of health resources,and the evaluation system of basic public health service should be promoted to increase the efficiency of health services.关键词
社区卫生服务/基本公共卫生服务/资金利用效率/数据包络分析Key words
Community health services/Basic public health services/Fund utilization efficiency/DEA分类
医药卫生
