The Technical Efficiency of Earthquake Medical Rapid Response Teams Following Disasters: The Case of the 2010 Yushu Earthquake in China

被引:5
作者
Liu, Xu [1 ]
Tang, Bihan [1 ]
Yang, Hongyang [2 ]
Liu, Yuan [1 ]
Xue, Chen [1 ]
Zhang, Lulu [1 ]
机构
[1] Second Mil Med Univ, Coll Mil Hlth Management, Dept Mil Hlth Management, Shanghai 200433, Peoples R China
[2] Second Artillery Gen Hosp Chinese Peoples Liberat, Dept Med Affairs, Beijing 100088, Peoples R China
关键词
earthquake medical response team; technical efficiency; data envelopment analysis; tobit regression; Yushu earthquake; RESCUE EFFORTS; EMERGENCY; PRODUCTIVITY; CHALLENGES; EVACUATION; MANAGEMENT;
D O I
10.3390/ijerph121214991
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Purpose: Performance assessments of earthquake medical rapid response teams (EMRRTs), particularly the first responders deployed to the hardest hit areas following major earthquakes, should consider efficient and effective use of resources. This study assesses the daily technical efficiency of EMRRTs in the emergency period immediately following the 2010 Yushu earthquake in China. Methods: Data on EMRRTs were obtained from official daily reports of the general headquarters for Yushu earthquake relief, the emergency office of the National Ministry of Health, and the Health Department of Qinghai Province, for a sample of data on 15 EMRRTs over 62 days. Data envelopment analysis was used to examine the technical efficiency in a constant returns to scale model, a variable returns to scale model, and the scale efficiency of EMRRTs. Tobit regression was applied to analyze the effects of corresponding influencing factors. Results: The average technical efficiency scores under constant returns to scale, variable returns to scale, and the scale efficiency scores of the 62 units of analysis were 77.95%, 89.00%, and 87.47%, respectively. The staff-to-bed ratio was significantly related to global technical efficiency. The date of rescue was significantly related to pure technical efficiency. The type of institution to which an EMRRT belonged and the staff-to-bed ratio were significantly related to scale efficiency. Conclusions: This study provides evidence that supports improvements to EMRRT efficiency and serves as a reference for earthquake emergency medical rapid assistance leaders and teams.
引用
收藏
页码:15390 / 15399
页数:10
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