我国医疗卫生体系资源配置与利用效率研究  

Research on the efficiency of resource allocation and utilization of China's medical and health system

作　　者：付波航 于寄语 FU Bohang;YU Jiyu(School of Finance Economics,Shenzhen Institute of Information Technology,Shenzhen,Guangdong Province,518172,PRC)

机构地区：[1]深圳信息职业技术学院财经学院,广东省深圳市518172 [2]湖北经济学院金融学院,湖北省武汉市430205

出　　处：《中国医院》2023年第4期1-4,共4页Chinese Hospitals

基　　金：教育部人文社会科学研究青年基金项目(19YJC910009);深圳信息职业技术学院双高计划博士项目(SZIIT2022SK036)。

摘　　要：目的:分析当前医疗卫生体系中医院与基层医疗卫生机构资源配置情况,及其资源利用效率的差距,为优化资源配置和提升服务效率提供参考。方法:构建医疗资源配置均等程度评价指标,借鉴Herr模型构建效率评价指标体系,研究医院与基层医疗卫生机构间的效率差距,利用31省(市区)2009-2020年的面板数据,实证检验配置与效率的关系、医疗资源利用效率的影响因素。结果:整体来看,地区医疗资源配置失衡程度,东部最高,中部和西部次之,资源配置失衡导致医院与基层医疗卫生机构医疗资源利用效率存在差距,且并未随医疗改革而缩小,医疗技术人员配置和人口密度是影响利用效率的显著因素。结论:加强政府宏观调控,对医疗卫生资源配置做结构性调整,并在应对老龄化问题中统筹医疗资源配置专门机构。Objective:To analyze the resource allocation of hospitals and grassroots medical and health institutions in China's medical and health system,as well as the gap in resource utilization efficiency between the two departments,so as to provide a reference for optimizing resource allocation and improving service efficiency.Methods:Construct the evaluation index of equal degree of medical resource allocation,use the Herr model to construct the efficiency evaluation index system,study the efficiency gap between hospitals and grassroots medical and health institutions,and use the panel data of 31 provinces(districts)from 2009 to 2020 to empirically test.The relationship between health care allocation and efficiency,and the influencing factors of medical resource utilization efficiency.Results:Overall,the imbalance of regional medical resource allocation is highest in the east,followed by the central and western regions.The imbalance of resource allocation leads to a gap in the utilization efficiency of medical resources between hospitals and grassroots medical and health institutions,which has not narrowed with the medical reform.Staffing and population density are significant factors affecting utilization efficiency.Conclusion:China should strengthen the government's macro-control,make structural resource allocation adjustments,and coordinate the special institutions for medical resource allocation for the aging problem.

关 键 词：医疗卫生资源 配置失衡 利用效率 实证研究 

分 类 号：R197[医药卫生—卫生事业管理]