Influence of Pharmaceutical Pricing Reform on Economic Operating Efficiency of Urban Public Hospitals
Abstract：Objective To evaluate the influence of pharmaceutical pricing reform on the economic operating efficiency of urban public hospitals in order to provide suggestions for the deepening of pharmaceutical pricing reform and the perfect the supporting measures.Methods Financial data from 16 hospitals 12 months pre-and post-reform were collected.Data development analysis Tobit model was applied.Results After the reform,the proportion of medical service revenue of most hospitals increases significantly,and proportion of drug sales decline significantly.Generally speaking,the reform achieves success.Before the reform,8 hospitals reach optimum efficiency,3 hospitals have decreasing returns to scale,and 4 have increasing returns to scale.After the reform,7 hospitals reach optimum efficiency,2 hospitals have decreasing returns to scale,and 6 have increasing returns to scale.It is found out that if there is 10％ increase in medical service proportion,efficiency increases by 6.19％ in hospitals.Conclusion Pharmaceutical pricing reform improves the operating efficiency of public hospitals,but the effect varies with the revenue structure;differentiated compensation scheme will help to maintain balanced operating;the management of public hospitals should be refined based on cost.
Keywords：public hospitalpharmaceutical pricing reformoperating efficiencyData Envelopment AnalysisTobit model
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 15-19 )