中国财政医疗卫生支出的泰尔差异与效率评价  

Theil Difference and Efficiency Evaluation on China's Fiscal Health Expenditure

作　　者：裴金平[1,2] 刘穷志[1] 

机构地区：[1]武汉大学经济与管理学院,武汉430072 [2]广西师范大学漓江学院,广西桂林541006

出　　处：《统计与决策》2017年第24期80-84,共5页Statistics & Decision

基　　金：国家社会科学基金青年项目(16CJL048)

摘　　要：文章对2007—2014年中国财政医疗卫生支出的区域差异、投入产出效率及其影响因素进行研究,为深入解决我国医药卫生体制改革中的突出难题以及实现地区公共医疗卫生服务均等化具有重要的研究价值。研究发现:中国财政医疗卫生支出的区域内差异较突出,且东部地区的区内差异较中部、西部地区突出,但总体而言,地区总差异呈缩小之势。我国财政医疗卫生支出的综合效率实现DEA有效的省份仍然不多,甚至部分省份的综合效率值仍然较低,区域效率差距仍较突出。全要素生产率(TFP)整体上在波动中呈上升趋势,技术效率的改进是其主要影响因素。This paper has done a research on regional differences in China＇s fiscal expenditure on health care, input and out- put efficiency and its influencing factors from 2007 to 2014, which has an important research value for further solving protruding problems in Chinese medical and health system reform and regional public health service equalization. The study finds that the re- gional difference in China＇s fiscal health expenditure is more prominent, and the eastern region is more prominent than the central and western regions, but on the whole the regional total difference is being reduced; there are still very few provinces that have achieved DEA effectiveness in the comprehensive efficiency of China＇s fiscal health expenditure, and even some provinces＇ com- prehensive efficiency value is still very low, and the regional efficiency gap is still very prominent; the total factor productivity （TFP） is on the upward trend in a fluctuant manner, and the improvement of technical efficiency is the main influencing factor.

关 键 词：医疗卫生支出 泰尔差异 效率评价 DEA-Malmquist生产率指数 

分 类 号：F812[经济管理—财政学]