基于HRAD和DEA的西部地区医疗卫生资源配置分析  

Analysis on medical and health resource allocation in western region based on HRAD and DEA

作　　者：王微[1] 陈香 张倩 WANG Wei;CHEN Xiang;ZHANG Qian(School of Public Administration,Guizhou University,Guiyang Guizhou 550025,China)

机构地区：[1]贵州大学公共管理学院,贵州贵阳550025

出　　处：《卫生软科学》2022年第7期40-45,共6页Soft Science of Health

基　　金：贵州省教育厅高校人文社会科学研究决策咨询类项目(2022ZX003);贵州省医疗保障研究会课题-贵州省医疗保险省级统筹研究。

摘　　要：[目的]从公平与效率2个维度分析西部地区医疗卫生资源配置状况,以优化资源配置、提高服务效率,为医疗卫生规划制定、政策制度调整提供参考依据。[方法]运用集聚度和数据包络分析法分析西部地区医疗卫生资源配置公平性和效率。[结果]2020年西部各省份HRAD_(i)为0.029~7.353,HRAD_(i)/PAD_(i)比值为0.686~4.954;2012-2020年西部地区HRAD_(i)均在1以下,HRAD_(i)/PAD_(i)比值在1左右。2020年西部地区共有5个省份DEA相对有效;2012-2020年综合效率、纯技术效率、规模效率平均值分别为0.981、0.987、0.994,2014-2017年和2020年的配置效率为DEA无效。[结论]西部地区医疗卫生资源人口公平性优于地理公平性;人力资源配置公平性较差;投入不足与资源闲置、产出不足并存,资源利用效率有待进一步提升;各省份间的医疗卫生资源配置公平和效率差异显著。Objective To analyze medical resource allocation in western China from two dimensions of fairness and efficiency, optimize resource allocation and improve service efficiency so as to provide reference basis for the formulation of medical and health plan and the adjustment of policy and system. Methods Cluster degree(AD)and data envelope analysis(ADE)were used to analyze the fairness and efficiency of medical resource allocation in western China. Results In 2020,HRADi in western provinces was between 0.029 and 7.353,and HRADi/PAD ratio was between 0.686 and 4.954. From 2012 to 2020,HRADi was below 1,and HRADi/PADi ratio was around 1. In 2020,DEA was relatively valid in 2020;the average comprehensive efficiency, pure technical the mean value of overall efficiency, pure technical efficiency and scale efficiency was 0.981,0.987,0.994 respectively. It was DEA invalid allocation efficiency from 2014 to 2017 and 2020. Conclusions The population fairness of medical resources in western China is better than that of geographical fairness. Human resources allocation is poor. Insufficient input coexists with idle resources and insufficient output. Resource utilization efficiency needs to be further improved. There are significant differences in fairness and efficiency of medical and health resource allocation among provinces.

关 键 词：医疗卫生资源 配置 公平性 效率 集聚度 数据包络分析 西部地区 

分 类 号：R197.1[医药卫生—卫生事业管理]