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作 者:张利江[1] 伟奇 孟勇[1] Zhang Lijiang;Wei Qi;Meng Yong(Xinxiang Medical University,Xinxiang 453003,Henan,China)
机构地区:[1]新乡医学院,河南新乡453003
出 处:《医院与医学》2023年第2期6-14,共9页Hospital and Medicine
摘 要:目的分析我国医院卫生资源的投入-产出效率,为我国优化医疗卫生资源配置提供依据。方法利用《中国卫生健康统计年鉴2021》,以全国31个省市区的医院卫生资源为研究对象,选取医院数、医院人员数和床位数为投入指标,总诊疗量和病床使用率为产出指标,运用数据包络分析方法分析2020年我国医院的卫生资源配置效率。结果2020年,上海、西藏、宁夏和青海医院的卫生资源配置为DEA相对有效,广东和浙江为DEA弱有效,其他省市区则为DEA相对无效,同时大部分省市区的医院卫生资源配置存在投入允余、产出不足的情况。结论政府应加强宏观调控,促进医院卫生资源配置效率提高;政府应加强统筹,提高卫生资源配置的公平性;综合各种因素,合理调整资源投入。Objective The input-output efficiency of hospital health resources in China was analyzed to provide a basis for optimizing the allocation of medical and health resources in China.Methods The number of hospitals in 31 provinces and cities was selected by using China Health Statistical Yearbook 2021.The number of hospital staff and beds is the input index,the total number of consultations and the utilization rate of beds is the output index,and the data envelopment analysis method is used to analyze the health resource allocation efficiency of Chinese hospitals in 2020.Results In 2020,DEA is relatively effective in health resource allocation of hospitals in Shanghai,Xizang,Ningxia and Qinghai,weak in DEA in Guangdong and Zhejiang,and relatively ineffective in other provinces and cities.Meanwhile,there is a situation of input redundancy and insufficient output in health resource allocation of hospitals in most provinces and cities.Conclusions The government should strengthen macro-control to promote the allocation efficiency of hospital health resources;The government should strengthen overall planning and improve the fairness of health resource allocation;Comprehensive various factors,reasonable adjustment of resource input.
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