摘要
目的研究广西县(区)中医药卫生资源配置效率空间分布特征及其相关性,为优化广西中医药卫生资源配置提供参考。方法通过DEA-ESDA模型分析广西各县(区)中医药卫生资源的配置效率情况和卫生资源投入产出情况。结果2020年相较2015年,广西中医药卫生资源运行效率呈现递增的态势;资源配置效率全局空间特征呈有到无的发展状态(2015年P<0.05,Z=3.312)(2020年P>0.05,Z=0.615);局部特征主要分布在南宁市县(区)及其往南的桂西南片区,为低配置效率状态;各投入产出指标的局部空间高-高集聚分布主要集中在南宁市县(区)、低-低集聚主要集中在百色市县(区)。结论广西县(区)中医药卫生资源配置效率大致向好发展,资源投入和产出不均衡或是配置效率的重要影响因素。发达县(区)投入和产出量较高于偏远贫困县(区),但发达县(区)资源配置效率相对较低。
Objective To study the spatial distribution characteristics and correlation of traditional Chinese medicine health resources allocation efficiency in Guangxi counties(districts),and to provide reference for optimizing the allocation of traditional Chinese medicine health resources in Guangxi.Methods DEA-ESDA model was used to analyze the allocation efficiency of TCM health resources and the input-output of health resources in Guangxi counties(districts).Results Compared with 2015,the operation efficiency of TCM health resources in Guangxi showed an increasing trend in 2020.The global spatial characteristics of resource allocation efficiency showed a state of development from presence to absence(P<0.05,Z=3.312 in 2015)(P>0.05,Z=0.615 in 2020).The local features are mainly distributed in Nanning Counties(districts)and the southwest area of Guangxi to the south,which is in the state of low allocative efficiency.The local spatial high-high concentration distribution of each input-output index is mainly concentrated in Nanning counties(districts),and low-low concentration distribution is mainly concentrated in Baise counties(districts).Conclusion The allocative efficiency of traditional Chinese medicine health resources in Guangxi counties(districts)is generally developing well,and the imbalance of resource input and output is an important factor affecting the allocative efficiency.The input and output of the counties(districts)were higher than those of the remote and poor counties(districts),but the efficiency of resource allocation in the counties(districts)was relatively low.
作者
梁秋瑜
徐安迎
陈钰红
李超云
成龙
张杰
LIANG Qiuyu;XU Anying;CHEN Yuhong;LI Chaoyun;CHENG Long;ZHANG Jie(Health Statistics Information Center of Guangxi Zhuang Autonomous Region,Nanning 530028,China)
出处
《现代医院》
2023年第4期509-513,共5页
Modern Hospitals
基金
广西中医药适宜技术开发与推广项目(GZSY21-09)。
关键词
DEA模型
ESDA模型
中医药卫生资源
配置效率
投入产出
DEA model
ESDA model
Traditional Chinese medicine health resources
Allocative efficiency
Input-output
