我国医疗体系全要素生产率成长的区域差异及其成因分析  

Analysis on the Regional Differences and Their Causes About Total Factor Productivity Growth of the Health Care System

作　　者：刘孟飞[1] 张晓岚[2] 

机构地区：[1]西安交通大学经济与金融学院,710061 [2]上海对外贸易学院会计学院,201620

出　　处：《上海经济研究》2013年第3期68-80,共13页Shanghai Journal of Economics

基　　金：陕西省社会科学基金"陕西公共部门绩效评估问题研究"(11Q055)的资助

摘　　要：本文基于2002～2010年全国范围内31个省市的面板数据,采用Malmquist生产率指数测算了我国医疗体系的全要素生产率及其分解值变化情况,并运用两阶段方法和Tobit模型对生产率成长的影响因素进行了深入的分析。研究发现,我国医疗体系的整体全要素生产率实现了41.8%的增长,增长的源泉主要来自于技术进步,人口密集度、受教育程度、公共卫生投入、医疗机构地理分布密集度以及医卫技术人员与非技术人员配置情况是影响技术进步和生产率成长的重要因素。以上发现对于进一步深化我国医疗卫生体制改革具有重要的借鉴意义。Based on provincial panel data from 2002 to 2010, this paper used the Malmquist productivity index to measure total factor productivity and decomposition of the value changes in our health care system. Then we conducted in-depth analysis of the influencing factors of productivity growth using two-stage method and the Tobit model. The study found that to achieve 41.8% growth in total factor productivity of our health care system as a whole, the source of growth comes from technological progress, population density, level of education, public health spending, health care structure of the geographical distribution of the intensity and configuration of technical and non-technical staff are the important factors of technological progress and productivity growth. These findings have important referencing significance for further deepening the reform of the health care system.

关 键 词：MPI 医疗体系 生产率成长 影响因素 

分 类 号：F127[经济管理—世界经济]