基于数据包络法的江苏省十三市卫生资源配置效率研究
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南京医科大学医政学院

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A Data Envelope Analysis of Health Resource Allocation Efficiency in 13 Cities of Jiangsu Province
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School of Health Policy and Management, Nanjing Medical University

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    摘要:

    目的:通过对于江苏省十三市卫生资源配置效率的分析和比较,探讨当前江苏省十三市卫生资源配置的具体情况,为进一步优化江苏省各市卫生资源配置效率提出建议。方法:选用deap2.1软件,使用数据包络法,运用CCR模型对于相关数据进行处理分析。将全省2013年医疗机构卫技人员数、床位数和财政补助收入作为投入指标;总诊疗人次数和出院人次数作为产出指标。结果:江苏省共有4个城市达到了DEA有效,3个城市为DEA弱有效,6个城市为DEA无效。规模效益方面,有6个城市为规模报酬递减状态,3个城市为规模报酬递增状态,4个城市为规模报酬不变。结论:江苏省部分市卫生资源配置出现了冗余的情况,且不同地区冗余情况不同,可以考虑通过及时对于患者流向进行引导,调整卫生财政补助政策,优化卫生资源配置情况和鼓励民营医院发展等措施进行调整。

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    Objective: By analyzing and comparing the efficiency of health resources allocation in 13 different cities of Jiangsu Province, we target at discussing the condition of these 13 cities and thus to bring up some suggestions for how to further enhance the efficiency of health resources allocation in Jiangsu Province. Method: Using software Deap 2.1 to apply Deta Envelopement Analysis (DEA) on data we collected about 2013 Jiangsu Health Resources Allocation. We choose the number of health practitioners, the number of impatient beds and government investment as the input index while the number of treatments and the number of outpatients are selected as the output index. Result: 4 out of 13 cities selected are DEA effective, 3 appears to be weak DEA effective and 6 out of 13 cities are not DEA effective. In terms of the economies of scale, the increase of returns to scale can be seen in 6 cities while the decrease can be seen in 3 cities. Conclusion: The surplus of health resources can be clearly seen in different cities of Jiangsu Province. We suggest that Jiangsu Province try to encourage patients to go to lower level medical institutions for treatments, adjust the reimbursement policy, optimize the allocation of health resource and encourage the development of private hospitals to make it more efficient.

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  • 收稿日期:2015-09-05
  • 最后修改日期:2016-01-07
  • 录用日期:2016-02-26
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