北京市诊所运行效率及变化趋势分析OA

Background The number of clinics in Beijing is growing rapidly,but clinics suffer from serious problems such as a lack of physicians,lower quality of service,and weak supervision.Objective To explore the clinic operation efficiency and its change trend in Beijing,and to provide reference for rational allocation of clinic medical resources.Methods In 2022,data envelopment analysis and Malmquist index model were used to estimate the static and dynamic efficiency of clinics in Beijing from 2013 to 2020.The input index selected the building area,the number of working staff and the total cost,and the output index selected the number of patients and total income.Results From 2013 to 2020,the comprehensive technical efficiency and pure technical efficiency showed a fluctuation decreasing trend,while the scale efficiency showed a fluctuation increasing trend.The comprehensive technical efficiency of medical aesthetic clinic is the lowest(0.156),and the comprehensive technical efficiency of urban clinic is higher(0.194)than that of suburban clinic(0.165).Clinic efficiency improved from 2013 to 2015,but decreased from 2015 to 2020.Conclusion The overall efficiency of clinics in Beijing is not high,the technical efficiency is low,there is a certain shortage of clinic input resources,there is a certain difference in clinic efficiency of different categories and different regions.It is suggested to strengthen the training of clinic personnel and encourage doctors in large hospitals to set up clinics at the grassroots level,so as to improve the level of clinic diagnosis and treatment;strengthen the internal and external supervision capacity of clinics,and formulate more detailed supporting measures for the establishment of clinics.