如何提高医学重点学科建设效率:一个三阶段DEA。

IF 2.5 4区 医学 Q3 HEALTH POLICY & SERVICES
Huajun Sun, Xiaomeng Yu, Fangshi Li, Tingting Zhang, Jiahui Song, Yue Du, Hongliang Liu
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引用次数: 0

摘要

医学重点学科建设对提高医疗服务能力、培养高水平医学人才、推动医学技术发展具有重要作用。然而,对这些重点学科建设效率的评估却相对不足。大多数现有评价主要侧重于保健服务。为了解决这一差距,本研究对天津市重点医学学科建设效率进行了评估,并找出了显著影响该效率的关键因素,从而提出了优化策略。本研究采用三阶段数据包络分析(DEA)模型对医学重点学科建设效率进行测度。利用超高效非期望SBM模型对该三阶段DEA框架的第一阶段和第三阶段进行了分析。在第二阶段,根据随机前沿分析(SFA)的结果对输入变量进行调整。通过Tobit回归分析,考察影响效率的因素。结果显示,重点医学学科的平均技术效率为0.18,其中DEA效率仅为8.57%。Tobit回归分析表明,博士人员比例、材料成本和差旅成本对施工效率有显著的正向影响。合理配置医学重点学科建设资源,实施优化学科队伍内部办学结构和财政资源配置的各项措施,提高整体建设效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How to improve the construction efficiency of key medical disciplines: a three-stage DEA.

The construction of key medical disciplines plays a crucial role in enhancing the capacity of medical services, cultivating high-level medical professionals, and advancing the development of medical technology. However, there is a relative insufficiency in assessing the efficiency of constructing these key disciplines. Most existing evaluations focus primarily on health services. To address this gap, the present study evaluates the construction efficiency of key medical disciplines within Tianjin and identifies critical factors that significantly influence this efficiency, thereby providing strategies for optimization. This research employs a three-stage data envelopment analysis (DEA) model to measure the construction efficiency of key medical disciplines. The super-efficient non-expected SBM model is utilized to analyze both the first and third stages of this three-stage DEA framework. In the second stage, adjustments are made to input variables based on results from Stochastic Frontier Analysis (SFA). Furthermore, Tobit regression analysis is conducted to examine factors influencing efficiency. The findings reveal that the average technical efficiency of key medical disciplines stands at 0.18, with only 8.57% classified as DEA efficient. The Tobit regression analysis indicates a significant positive impact from the proportion of doctoral personnel, material costs and travel costs on construction efficiency. It is essential to allocate resources rationally for developing key medical disciplines while implementing various measures aimed at optimizing both educational structures within discipline teams and financial resource allocation in order to enhance overall construction efficiency.

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来源期刊
Cost Effectiveness and Resource Allocation
Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
4.30%
发文量
59
审稿时长
34 weeks
期刊介绍: Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.
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