摘要
目的:研究2009年医改前后医疗机构投入对服务效率的影响,并探讨这种影响的区域差异性。方法:通过主成分分析法(PCA)合成医疗机构投入综合指标和服务效率综合指标,采用动态面板回归方法分析医疗机构投入对服务效率的影响,分区域进行回归探讨区域间的差异性。以2009年医改为时间截点采用断点回归法分析医改前后这种影响的变化。结果:总体上,医疗机构的粗放型投入对医疗机构服务效率的影响是起抑制作用的,但是医改后这种抑制作用却不再显著,反而在西部地区有促进作用。结论:医改给各地区的投入效率转换带来了契机,这种改革红利效应在西部地区最为明显。管理层和政府政策制定者需要认真贯彻医改的有关要求,提高投入对服务效率的转化率,从而更好的为广大的人民群众提供安全、有效、方便、价廉的医疗卫生服务,促进我国公共卫生事业的有序发展。
Objective： To study the impact of input on service efficiency for health care institutions before and after the health reform during 2009, and discuss the regional differences. Methods： Through the Principal Component Analysis（PCA）, comprehensive input and efficiency index were combined. The dynamic panel regression method was employed to analyze the influence of input on efficiency and explore regional differences. Moreover, with the heahh reform in 2009 as the breakpoint, it employed breakpoint regression method to analyze the changes of the influences before and after medical reform. Results： Overall, the extensive input of heahh care had significant negative effect on service efficiency of medical institutions. However, after medical reform, this negative effect had not become significant any more, while it had improving effect on western region. Conclusion： The health hrought the opportunity for the transformation of efficiency from input, which was most obvious in the western region of China. The management aud policy maker needed to conscientiously implement fine medical reform, and increase the transfnrmation of efficiency from input, so as to provide safe, effective, convenient and affordahle medical anti health services, sn as to promote the orderly development of public health industry in China.
出处
《中国卫生经济》
北大核心
2016年第10期21-24,共4页
Chinese Health Economics
关键词
医疗机构
粗放型投入
服务效率
主成分分析
系统GMM
medical institution
extensive input
service efficiency
principle component analysis
system GMM
