Diffusion models have demonstrated remarkable capabilities in image synthesis and related generative tasks. Nevertheless, their practicality for low-latency real-world applications is constrained by substantial computational costs and latency issues. Quantization is a dominant way to compress and accelerate diffusion models, where post-training quantization (PTQ) and quantization-aware training (QAT) are two main approaches, each bearing its own properties. While PTQ exhibits efficiency in terms of both time and data usage, it may lead to diminished performance in low bit-width. On the other hand, QAT can alleviate performance degradation but comes with substantial demands on computational and data resources. To capitalize on the advantages while avoiding their respective drawbacks, we introduce a data-free and parameter-efficient fine-tuning framework for low-bit diffusion models, dubbed EfficientDM, to achieve QAT-level performance with PTQ-like efficiency. Specifically, we propose a quantization-aware variant of the low-rank adapter (QALoRA) that can be merged with model weights and jointly quantized to low bit-width. The fine-tuning process distills the denoising capabilities of the full-precision model into its quantized counterpart, eliminating the requirement for training data. We also introduce scale-aware optimization and employ temporal learned step-size quantization to further enhance performance. Extensive experimental results demonstrate that our method significantly outperforms previous PTQ-based diffusion models while maintaining similar time and data efficiency. Specifically, there is only a marginal 0.05 sFID increase when quantizing both weights and activations of LDM-4 to 4-bit on ImageNet 256x256. Compared to QAT-based methods, our EfficientDM also boasts a 16.2x faster quantization speed with comparable generation quality.