摘要
目的评估2017—2021年长江经济带中医类医疗机构的卫生资源配置效率,为科学配置中医类卫生资源提供参考依据。方法选取2018—2022年《中国卫生健康统计年鉴》中的数据作为样本,分析中医类医疗机构卫生资源的投入和产出指标。采用数据包络分析(DEA)法的BCC模型,对2021年中医类医疗机构的卫生资源配置效率进行静态分析。采用Malmquist指数模型,对2017—2021中医类医疗机构的卫生资源配置效率进行动态分析。结果2017—2021年长江经济带中医类医疗机构的投入指标(机构数、床位数及卫生技术人员数)和出院人次呈逐年下降趋势,诊疗人次呈逐年增加趋势。2021年长江经济带中医类医疗机构卫生资源综合效率总均值为0.856,有3个省市的卫生资源配置达到DEA强有效,8个省市的卫生资源配置为非DEA有效,存在投入冗余和产出不足的情况。2017—2021年长江经济带11个省市中医类医疗机构的全要素生产率指数总均值为0.863,其中10个省市的全要素生产率指数均<1。2017—2021年长江经济带中医类医疗机构全要素生产率指数呈先上升后下降再回升的总体趋势,技术效率、纯技术效率和规模效率的指数变化模式均为先增后减。结论2021年长江经济带中医类医疗机构的卫生资源配置效率亟须提升,其中规模效率是其主要制约因素,且各区域间的配置效率存在差异。因此,建议合理控制中医类医疗机构的规模,创新其管理模式,科学地制定区域规划,从而实现卫生资源配置的优化。
Objective To evaluate health resource allocation efficiency in traditional Chinese medicine medical institutions of Yangtze River Economic Belt from 2017 to 2021,and to provide reference for scientific allocation of traditional Chinese medicine health resources.Methods Data of China Health Statistical Yearbook from 2018 to 2022 were selected as sample,input and output indicators of health resources in traditional Chinese medicine medical institutions were analyzed.Health resource allocation efficiency of traditional Chinese medicine medical institutions in 2021 was statically analyzed by using BCC model of data envelopment analysis(DEA)method.Health resource allocation efficiency in traditional Chinese medicine medical institutions from 2017 to 2021 was dynamically analyzed by using Malmquist index model.Results Input indicators(number of institutions,number of beds,and number of health technicians)and discharge times of traditional Chinese medicine medical institutions in Yangtze River Economic Belt from 2017 to 2021 had been decreasing year by year,while the number of diagnosis and treatment had been increasing year by year.Total average value of comprehensive efficiency of health resources in traditional Chinese medicine medical institutions in Yangtze River Economic Belt at 2021 was 0.856.Health resource allocation of three provinces and cities had achieved strong DEA efficiency,while health resource allocation of eight provinces and cities had non-DEA efficiency,there were situations of redundant inputs and insufficient outputs.Total average value of total factor productivity index of traditional Chinese medicine medical institutions in 11 provinces and cities in Yangtze River Economic Belt from 2017 to 2021 was 0.863,of which ten provinces and cities had total factor productivity index of less than one.From 2017 to 2021,total factor productivity index of traditional Chinese medicine medical institutions in Yangtze River Economic Belt showed overall trend of first increasing,then decreasing and then rebounding,and exponential change patterns of technical efficiency,pure technical efficiency,and scale efficiency were all increasing first and then decreasing.Conclusion Health resource allocation efficiency of traditional Chinese medicine medical institutions in Yangtze River Economic Belt urgently needs to be improved at 2021,with scale efficiency being main limiting factor,and there are differences in allocation efficiency among different regions.Therefore,it is recommended to reasonably control scale of traditional Chinese medicine medical institutions,innovate their management models,scientifically formulate regional plans,and thus achieve optimization of health resource allocation.
作者
郭孟子
李紫航
程智
陈湘婉
陈艺璇
汤质如
GUO Mengzi;LI Zihang;CHENG Zhi;CHEN Xiangwan;CHEN Yixuan;TANG Zhiru(School of Health Administration,Anhui Medical University,Anhui Province,Hefei230032,China)
出处
《中国医药导报》
CAS
2024年第19期129-134,共6页
China Medical Herald
基金
安徽省卫生总费用核算项目(K2021209)。
关键词
中医类医疗机构
卫生资源配置
数据包络分析
全要素生产率
Traditional Chinese medicine medical institutions
Health resource allocation
Data envelopment analysis
Total factor productivity
