摘要
目的:对2014年中国31个行政区域的卫生系统资源配置和利用效率进行现状研究,并对效率的影响因素进行探讨,拟为寻找有效的资源配置和利用提供理论依据和相关建议。方法:运用数据包络分析方法测算我国除港澳台以外的31个行政区的医疗卫生系统的效率,并采用一般线性回归的方法探讨其影响因素。结果:31个行政区卫生系统的平均技术效率为0.922,只有12个(38.71%)省市的技术效率有效。基于松弛测度效率分析显示效率无效的行政区域有10个(32.26%),其主要原因是投入过多和产出不足。线性回归的结果表明,医疗卫生系统效率的影响因素包括15-54岁人口数目比例、高等院校数目、15岁以上文盲人口比例、地区GDP、政府卫生支出、医疗卫生机构支出和每千人口卫生技术人员数目。结论:当前我国各地区技术效率有效的比例较低,但是绝大部分技术效率无效的省份的相对效率值大于0.80。政策制定者应该在考虑社会经济发展水平和人口构成的前提下,有针对性的改变投入量,同时加强全社会受教育程度来促进医疗卫生系统的效率。
Objective To study the status of efficiency of health resources allocation and utilization in 31 provinces in 2014 and its influencing factors, and provide references for optimizing them. Methods The efficiency of healtheare system of 31 provinces was evaluated with data envelopment analysis （DEA）. And its influencing factors were analyzed with general multiple linear regression. Results The average technical efficiency of these 31 provinces was 0. 922, in which only 12 （38.71% ） cases had efficient technical efficiency. There had 10（32. 26% ） inefficient cases, which were mainly caused by the redundant input and insufficient output. The influencing factors included the percentage of population aged from 15 to 54, the number of colleges and universities, the proportion of illiterate population over 15 years old, the gross regional production, governmental health expense, cost of medical institutions, and the number of health technical personnel per thousand people. Conclusion The proportion of efficient technical efficiency was lower, while the score of relative efficiency of most of them was higher than 0. 80. It is suggested for the policy - makers to change the input based on the development of socio - economic and demographic composition, and intensify education on the society to promote the efficiency of health system.
出处
《中国卫生事业管理》
北大核心
2017年第6期432-435,471,共5页
Chinese Health Service Management
基金
陕西省科技计划项目:陕西省城镇居民医疗保障水平评估指标体系研究(编号:2014K11-04-04)
关键词
卫生系统
卫生资源
效率
投入
产出
影响因素
healthcare system
health resources
efficiency
inputs
outputs
influencing factors.
