基于DEA模型的我国医疗卫生资源配置效率研究
Research on the Allocation Efficiency of My Country’s Medical and Health Resources Based on DEA Model
摘要:
目的:对2017~2018年我国各地区医疗卫生资源配置效率情况进行分析,提供优化医疗卫生资源配置效率建议。方法:运用DEA模型方法,选择人均卫生费用、卫生总费用占国内生产总值(GDP)的比重、每千人口卫生技术人员、基层医疗机构床位数作为投入指标,选择出院人数、医疗卫生机构诊疗人数作为产出指标,分析各地区医疗卫生资源配置效率情况。结果:2017~2018年均实现医疗卫生资源有效配置的省份有北京、上海、西藏。结论:我国医疗卫生资源配置效率总体不高;部分地区的医疗卫生资源利用率较低;需优化医疗卫生资源投入结构来提高医疗卫生资源配置效率。
Abstract:
Purpose: To analyze the efficiency of medical and health resource allocation in various regions of my country from 2017 to 2018, and provide suggestions for optimizing the efficiency of medical and health resource allocation. Method: Using the DEA model method, select the per capita health expenditure, the proportion of total health expenditure to GDP, the number of health technicians per thousand population, and the number of beds in primary medical institutions as input indicators, and select the number of discharged hospitals and medical and health institutions for diagnosis and treatment. The number of people is used as an output indicator to analyze the efficiency of the allocation of medical and health resources in various regions. Results: The provinces that achieved effective allocation of medical and health resources from 2017 to 2018 were Beijing, Shanghai, and Tibet. Conclusion: The overall efficiency of my country’s medical and health resource allocation is not high; the utilization rate of medical and health resources in some areas is low; it is necessary to optimize the structure of medical and health resource input to improve the efficiency of medical and health resource allocation.
参考文献
|
[1]
|
中华人民共和国中央人民政府. 中共中央国务院印发《“健康中国2030”规划纲要》[Z]. 2016.
|
|
[2]
|
郑亚君. 陇南市医疗卫生资源配置状况研究[D]: [硕士学位论文]. 兰州: 兰州大学, 2019.
|
|
[3]
|
陶春海, 郭同济, 许可. 我国医疗卫生资源配置均等化水平测度[J]. 统计与决策, 2019, 35(24): 42-46.
|
|
[4]
|
苏敏艳, 郑慧凌, 张娜娜, 等. 卫生资源配置视角下南京市分级诊疗实施现状及战略措施分析[J]. 现代医院管理, 2019, 17(6): 5-7.
|
|
[5]
|
杜凤姣. 2002-2011年我国医疗卫生资源配置的公平性分析[D]: [硕士学位论文]. 上海: 华东师范大学, 2014.
|
|
[6]
|
仇蕾洁, 张雪文, 郑文贵, 等. 山东省社区卫生服务站医疗资源配置效率评价研究[J]. 中国卫生经济, 2017, 36(11): 69-71.
|
|
[7]
|
魏权龄. 数据包络分析(DEA) [J]. 科学通报, 2000, 45(17): 1793-1808.
|
|
[8]
|
Wildman, J. and Hol-lingsworth, B. (2003) The Efficiency of Health Production: Re-Estimating the WHO Panel Data Using Parametric and Non-Parametric Approaches to Provide Additional Information. Health Economics, 12, 493-504.
|
|
[9]
|
李勇, 檀楠楠. 我国医疗卫生资源配置效率的实证[J]. 统计与决策, 2021, 37(13): 80-83.
|
|
[10]
|
陈露, 张春蕾, 魏亚卿, 等. 基于DEA模型的海南省基层卫生资源配置效率研究[J]. 中国农村卫生事业管理, 2019, 39(2): 109-113.
|
|
[11]
|
扎西达娃, 旺珍, 拉巴桑珠, 王文华, 来有文, 欧珠罗布. 西藏卫生资源配置与利用现状研究[J]. 中国农村卫生事业管理, 2017, 37(1): 12-16.
|