基于三阶段SBM⁃Malmquist模型的中国医疗卫生资源配置效率分析
作者:
作者单位:

作者简介:

叶贻忠(1997—),男,广西贺州人,硕士研究生在读,研究方向为卫生政策与管理;

通讯作者:

中图分类号:

R197.1

基金项目:

教育部人文项目“基于健康需求视角的医疗卫生服务分级诊疗体系建设研究”(18YJA630103)


Efficiency analysis of medical and health resource allocation in China based on three⁃stage SBM⁃Malmquist model
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    文章基于三阶段SBM模型、Malmquist指数法,对2015—2020年我国31个省(自治区、直辖市,除港澳台地区)医疗卫生资源配置效率进行静态与动态评价。结果显示,剔除环境因素与随机误差后,2015—2020年我国卫生资源配置综合效率均值为0.720,全要素生产率均值为0.937,其中技术进步指数、纯技术效率变化指数、规模效率变化指数分别下降 5.4%、0.7%、0.3%。2015— 2020年我国卫生资源配置效率整体偏低,呈下降趋势,技术进步制约明显;地域间、省际配置效率差异较大;各地区生产总值、常住人口数及城市化水平显著影响配置效率。建议以适宜发展规模为基础、以技术进步为动力,实现效率提升;以区域协调为重点,增强卫生资源投入均衡性、公平性、精准性;以改善外部环境为突破口,健全医疗卫生服务体系。

    Abstract:

    Based on the three ? stage SBM model and the Malmquist index method,the article conducted static and dynamic evaluation of the allocation efficiency of medical and health resources in 31 provinces and cities (excluding Hong Kong,Macao and Taiwan regions) in China from 2015 to 2020. The results showed that after eliminating environmental factors and random errors,the average comprehensive efficiency of health resource allocation in China from 2015 to 2020 was 0.720,and the average total factor productivity was 0.937. Among them,the technological progress index decreased by 5.4%,the pure technical efficiency change index decreased by 0.7%,and the scale efficiency change index decreased by 0.3%. From 2015 to 2020,the overall efficiency of health resource allocation in China is low and on a downward trend,with obvious constraints on technological progress. There are large differences in the allocation efficiency between regions and provinces; regional gross domestic product,resident population and urbanization levels have a significant impact on allocation efficiency. It is suggested to improve efficiency based on appropriate development scale and driven by technological progress;focusing on regional coordination,enhancing the balance,fairness and accuracy of health resource input;and using the improvement of the external environment as a breakthrough,to improve the health service system.

    参考文献
    相似文献
    引证文献
引用本文

叶贻忠,陶群山.基于三阶段SBM⁃Malmquist模型的中国医疗卫生资源配置效率分析[J].南京医科大学学报(社会科学版),2022,22(4):343~350

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2022-09-01
  • 出版日期: