中国存在过度医疗问题吗?——基于省际地区城市医院医疗服务效率测度视角  

Is There a Problem of Excessive Medical Treatment Issues in China? From the Perspective of Medical Service Efficiency Measurement of Urban Hospitals in Provincial Regions

作　　者：刘海英[1] 

机构地区：[1]吉林大学数量经济研究中心

出　　处：《社会科学》2015年第12期65-75,共11页Journal of Social Sciences

基　　金：国家社科基金重大项目"‘十三五’时期环境治理与经济发展方式转变相互协调机制研究"(项目编号:15ZDA015);国家自然科学基金面上项目"绿色全要素生产率下的环境规制选择问题研究"(项目编号:71373101);教育部重点研究基地重大项目"政治体制对经济发展的作用机制研究--基于行政权力与经济权力博弈分析"(项目编号:13JJD790010)的阶段性成果

摘　　要：从医疗服务投入产出效率测度视角可以识别过度医疗问题。具体将城市医院的人均诊疗费用和住院费用两项指标,作为地区医疗卫生投入产出系统中的非合意产出因素,在非参数DEA框架下测度地区医疗服务效率差异。在不考虑患者人均诊疗费用和住院费用支出因素时,南方地区医疗服务效率高于北方地区,其中东北地区的医疗服务效率最低;考虑人均诊疗费用和住院费用后,全国大部分地区医疗服务效率都发生了一定程度下降,北方地区降幅相对更大。两种不同情形下的医疗服务效率地区差异表明,过度医疗问题在我国确实存在,其中北京和东北地区相对严重。Based on the perspective of input-output efficiency measurement ot mecuca serwce, u,cproblem of excessive medical treatment can be identified. This paper takes two indicators, city hospitalmedical expenses per capita and hospitalization expenses per capita, as undesirable outputs in regionalhealth care input-output system, and measures Chinese regional medical service efficiency differences inthe framework of non-parametric DEA method. Without considering the factors of medical andhospitalization expenses per capita of patients, the south area of China has higher medical serviceefficiency than the north area, with the minimum medical services efficiency in Northeast China. Afterconsidering medical expenses and hospitalization expenses per capita, medical service efficiency of mostparts of the country have dropped to some extent, and the decline in northern area is relatively greater.The differences of medical service efficiency in two circumstances indicate that the problem of overmedical treatment is common in China, and the area of Beijing and Northeast China relatively serious.

关 键 词：非合意产出 医疗服务效率 过度医疗 

分 类 号：R195[医药卫生—卫生统计学]