基于数据包络分析(Malmquist指数法)评估2005-2015年江苏省血吸虫病防治效率  

Assessing the efficiency of schistosomiasis control programs in Jiangsu Province from 2005 to 2015 using data envelopment analysis(Malmquist index method)

作　　者：冯云 施亮 张键锋[1] 赵松[1] 熊春蓉[1] 姚韵怡 刘璐[1] 何健[1] 王鑫瑶 董萱 杨坤[1] 李伟[1] FENG Yun;SHI Liang;ZHANG Jian⁃Feng;ZHAO Song;XIONG Chun⁃Rong;YAO Yun⁃Yi;LIU Lu;HE Jian;WANG Xin⁃Yao;DONG Xuan;YANG Kun;LI Wei(Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention,Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology,Jiangsu Institute of Parasitic Diseases,Wuxi 214064,China)

机构地区：[1]国家卫生健康委员会寄生虫病预防与控制技术重点实验室江苏省寄生虫与媒介控制技术重点实验室江苏省血吸虫病防治研究所

出　　处：《中国血吸虫病防治杂志》2019年第6期607-614,共8页Chinese Journal of Schistosomiasis Control

基　　金：江南大学公共卫生中心青年项目（BM2015024）;江苏省血吸虫病防治研究所优秀青年人才科研基金;江苏省卫生厅项目（X201505）;江苏省预防医学会项目（Y2015071）;无锡市卫生计生委科研项目（Q201812）

摘　　要：目的评估江苏省卫生血防全要素生产率(Total Factor Productivity,TFP),为血吸虫病防治工作可持续性发展提供方向。方法运用数据包络分析(Malmquist指数法)对2005–2015年江苏省各血吸虫病流行市卫生血防人力和财政经费资源投入及各项血吸虫病防治工作量产出进行模型分析。结果2005–2015年江苏省血吸虫病防治工作各类生产效率总体呈上升趋势,历年平均TFP变动率为2.3%。综合技术效率在略有波动中稳步增长,历年平均综合技术效率变动率为3.8%。技术进步变动前期波动较大,后期稳步增长,成为TFP增长的主要来源。淮安、常州等市TFP变动率增长较快,其综合技术效率较高;盐城、南京、淮安、扬州等市技术进步变动率较高。结论江苏省卫生血防技术水平不断提高,技术运用和管理督导水平稳步上升。新技术新策略的应用对TFP贡献较大,未来应加大对新技术新策略的投入,保障江苏省血吸虫病防治工作可持续性发展。Objective To assess the total factor productivity(TFP)of schistosomiasis control programs in Jiangsu Province,so as to provide insights into sustainable schistosomiasis control.Methods The data envelopment analysis-Malmquist index method was employed to analyze the human resources and financial investments in schistosomiasis control programs from health sectors in each schistosomiasis-endemic city of Jiangsu Province from 2005 to 2015,and assess the outputs of each schistosomiasis control project.Results The overall productive efficiency of schistosomiasis control programs in Jiangsu Province showed an increasing tendency,and the mean fluctuation of annual TFP was 2.3%.The comprehensive technical efficiency,including pure efficiency and scale efficiency,appeared a steady increase with minor fluctuations,and the mean fluctuation of annual comprehensive technical efficiency was 3.8%.The growth rate of technical progress fluctuated greatly from 2005 to 2011,and showed a steady increase from 2012 to 2015,which became a major contributor to the growth of TFP.A higher growth rate of TFP was seen in Huai’an and Changzhou cities,which showed a greater comprehensive technical efficiency,and a large fluctuation was observed in the growth rate of technical progress in Yancheng,Nanjing,Huai’an and Yangzhou cities.Conclusions There is a continuous improvement in the technical level of schistosomiasis control programs in Jiangsu Province,and technical application and supervision and management capacity also show a steady increase.In addition,the application of new techniques and new strategies contributes greatly to TFP growth.In the future,the investment into new techniques and new strategies should be increased to ensure the sustainable schistosomiasis control in Jiangsu Province.

关 键 词：血吸虫病 数据包络分析 MALMQUIST指数 全要素生产率 

分 类 号：R532.21[医药卫生—内科学]