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               第3期 总第134期                           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）                             ·
                 2026年6月                      Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences）  · 253
                                              Journal



                 Research on the spatiotemporal variations，dynamic evolution，and

                influencing factors of healthcare fiscal expenditure efficiency in Inner

                                                         Mongolia

                                                      GUO Yuchao，AO Ye
               Operations Management Department，The First Affiliated Hospital of Baotou Medical College，Inner Mongolia University of Science
                                                and Technology，Baotou 014010，China
                   Abstract：Based on panel data of 12 prefecture⁃level cities in Inner Mongolia from 2013 to 2023，this
               paper measures the spatiotemporal variations and dynamic evolution trends of healthcare fiscal expenditure
               efficiency in Inner Mongolia using the three ⁃ stage DEA ⁃ Malmquist model，while analyzing the influencing
               factors of the efficiency values using the Tobit model. The result shows that the average comprehensive technical
               efficiency of healthcare fiscal expenditure in Inner Mongolia is 0.814， with insufficient scale efficiency
               identified as the main constraint. Regional efficiency shows significant spatial heterogeneity with a decreasing
               pattern from east to west. The Malmquist index exhibited a fluctuating trend from 2013 to 2023，with
               technological progress as the primary driving factor. The urbanization rate and fiscal autonomy have significant
               positive impacts on the efficiency of healthcare fiscal expenditure，while the education level，per capita
               disposable income，and the fiscal burden rate have significant negative impacts on the efficiency. Research
               indicates that it is necessary to enhance the efficiency of healthcare fiscal expenditure in Inner Mongolia by
               establishing a comprehensive fiscal budget management system developing regional dynamic monitoring and
               precise management，clarifying expenditure responsibilities，optimizing fiscal decentralization，strengthening
               preventive priority investment，and promoting technological innovation.
                   Key words：healthcare；fiscal expenditure efficiency；three⁃stage DEA⁃Malmquist model；Tobit model
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