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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
· 272 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2023年6月
Journal
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省医疗卫生支出效率评价［J］. 南京医科大学学报（社 ［11］ 温勇，魏冲. 关注医疗卫生支出效率 促进卫生健康高
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［8］ 熊乃儋，吴忠. 新医改背景下西部地区卫生支出效率 ［12］ 王宇，张建，陈家应，等. 医学科技成果转化的动力与阻
及影响因素研究［J］. 现代预防医学，2022，49（8）： 力——基于文献计量法与实践的分析［J］. 中国高校科
1424-1428 技，2020（12）：90-92
［9］ 俞佳立，杨上广，钱芝网. 财政分权与地方财政医疗卫 ［13］ 程琳，廖宇岑. 地方政府医疗卫生支出效率及其影响
生支出效率［J］. 北京理工大学学报（社会科学版）， 因素分析：基于异质性随机前沿模型［J］. 中国卫生经
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［10］ 张峰. 财政透明程度对政府医疗卫生支出效率的影响 （本文编辑：姜 鑫）

Research on the efficiency and influencing factors of government

medical and health expenditure in the Yangtze River Delta region

1
ZHANG Qingyu ，LU Chao 1，2
1. School of Economics and Management，Anhui University of Science and Technology，Huainan 232001；
2. Drug Clinical Research Center，First Affiliated Hospital of Anhui University of Science and Technology，Huainan 232001，China
Abstract：Under the strategic background of Healthy China，this paper aims to analyze the efficiency and
influencing factors of government healthcare expenditure in the Yangtze River Delta region to provide references for
promoting the high ⁃ quality development of its healthcare industry. Based on the panel data of 41 cities in the
Yangtze River Delta region from 2016 to 2021，this paper adopts the DEA⁃BCC model and Malmquist index to
analyze the efficiency of health expenditure in the Yangtze River Delta region from the static and dynamic
dimensions while also utilizing the restricted dependent variable Tobit model to analyze influencing factors.
According to the analysis，the expenditure efficiency in the Yangtze River Delta region is relatively high but varies
significantly across regions. The low scale efficiency and declining technological progress in most regions have
become key constraints on expenditure efficiency. The GDP per capita and urbanization rate are positively
correlated with expenditure efficiency; while population density， healthcare expenditure proportion，fiscal
decentralization significantly and negatively correlate with expenditure efficiency. The number of general higher
education students per 10 000 population has a certain but insignificant impact on expenditure efficiency. On this
basis，this paper proposes suggestions about optimizing healthcare expenditure efficiency in the Yangtze River
Delta region.
Key words：medical and health expenditure；efficiency evaluation；DEA method；Panel Tobit model