2013年广西妇幼保健卫生资源配置公平性和利用效率评价的分析  

Analysis of the allocation fairness and utilization efficiency of maternal and child health care resources in Guangxi during 2013

作　　者：李连凤[1] 邹雄[1] 黄李凤[2] 

机构地区：[1]广西壮族自治区妇幼保健院,广西南宁530003 [2]广西医科大学

出　　处：《中国妇幼保健》2015年第24期4093-4096,共4页Maternal and Child Health Care of China

基　　金：2014年度广西高校科研项目〔LX2014063〕;2013年度广西高等学校人文社会科学研究项目〔SK13YB019〕

摘　　要：目的通过对2013年广西壮族自治区14个市妇幼保健卫生资源配置的公平性和利用有效性进行评价分析,为提高资源配置公平性和利用效率提供参考依据。方法采用基尼系数,从14个市人口分布和地理分布的角度,分析各市妇幼保健卫生资源配置的公平性;利用数据包络分析法(data envelopment analysis,DEA)对各市妇幼保健卫生资源利用效率进行横向评价。结果 3项妇幼保健卫生资源按人口分布配置均优于按地理分布配置;10/14的城市处于非DEA有效,在非DEA有效的城市中有90%出现规模效益递减,妇幼卫生资源的投入冗余与产出不足同时并存。结论增加妇幼卫生经费投入,建立人才引进激励机制,制定完善双向转诊制度,加大农村和边远少数民族地区倾斜力度,强化妇幼保健机构内涵发展等系列措施,有助于进一步改善和提高各市妇幼保健卫生资源配置的公平性和利用效率。Objective To evaluate and analyze the allocation fairness and utilization efficiency of maternal and child health care re- sources in Guangxi during 2013 in 14 cities in order to provide reference basis for elevating fairness of resources allocation and efficiency of u- tilization. Methods Allocation fairness of maternal and child health care resources was analyzed among cities in the aspect of population distribution and geographical distribution using Gini coefficient. To horizontally evaluate utilization efficiency of maternal and child health care resources in each city; data envelopment analysis （DEA） was used in the study. Results The Gini coefficients of population distribu- tion of the three maternal and child health care resources were all better than those of geography distribution ; 10/14 cities were non-DEA ef- fective, and 90% of these non-DEA effective cities occurred diminishing returns to scale. Input redundancy of maternal and child health care resources coexisted with output deficiency. Conclusion A series of steps including increasing maternal and child health care funding input, establishing effective talent importing and incentive mechanisms, establishing improved two-way referral system, granting more favors to the outlying and poverty-stricken minority areas, strengthening content development of maternal and child health care institutions are help- ful to further improve and elevate the allocation fairness and utilization efficiency of maternal and child health care resources.

关 键 词：妇幼保健 卫生资源 效率评价 公平性 数据包络分析 基尼系数 

分 类 号：R17[医药卫生—妇幼卫生保健]