基于分级诊疗制度的卫生服务资源配置效率评价——以安徽省为例  

Evaluation on the efficiency of health service resources allocation based on hierarchical diagnosis and treatment system——taking Anhui Province as an example

作　　者：陶群山 TAO Qun-shan(School of Medicine Economics and Management,Anhui University of Chinese Medicine,Hefei 230038,China)

机构地区：[1]安徽中医药大学医药经济管理学院

出　　处：《青岛科技大学学报（社会科学版）》2019年第4期27-33,42,共8页Journal of Qingdao University of Science and Technology(Social Sciences)

基　　金：安徽省哲学社会科学规划项目(AHSKY2016D99)

摘　　要：实施分级诊疗制度有利于卫生服务资源的有效配置。运用DEA模型从横向多窗口分析和纵向时间序列分析两个视角,对安徽省分级诊疗制度实施前后的卫生服务资源配置效率进行测算。研究表明,安徽省卫生服务资源的综合效率提升明显,技术效率优势突出,规模效率劣势尚存。而这与区域经济发展程度、投入要素规模与结构以及卫生服务机制创新密切相关。因而,若要提升卫生服务资源的效率,需适度增加卫生服务投入,优化投入要素结构,完善医保支付方式,创新分级诊疗服务机制,实现城乡卫生服务资源的配置均衡。The implementation of hierarchical diagnosis and treatment system is conducive to the effective allocation of health service resources.DEA model was used to measure the location efficiency of health service resources before and after the implementation of hierarchical diagnosis and treatment system in Anhui Province from the perspectives of horizontal multi-window analysis and vertical time series analysis.The research shows that the comprehensive efficiency of health service resources in Anhui Province is improved obviously,the advantage of technical efficiency is prominent,and the disadvantage of scale efficiency still exists.This is closely related to the degree of regional economic development,the scale and structure of input factors and the innovation of health service mechanism.Therefore,to improve the efficiency of health service resources,it is necessary to appropriately increase health service input,optimize the input factor structure,improve the payment mode of medical insurance,innovate the hierarchical diagnosis and treatment service mechanism,and realize the balanced allocation of health service resources in urban and rural areas.

关 键 词：分级诊疗 卫生服务资源 效率评价 DEA模型 

分 类 号：F224[经济管理—国民经济]