我国医疗卫生资源配置效率评价及区域差异分析  

Efficiency evaluation and regional variance analysis of medical and health resources allocation in China

作　　者：张良勇[1] 谷晓羽 许世伟 ZHANG Liangyong;GU Xiaoyu;XU Shiwei(School of Mathematics and Statistics,Hebei University of Economics and Business,Shijiazhuang 050061,China)

机构地区：[1]河北经贸大学数学与统计学学院,河北石家庄050061

出　　处：《高师理科学刊》2023年第10期22-28,71,共8页Journal of Science of Teachers＇College and University

基　　金：河北省高等学校科学技术研究重点项目(ZD2022062)。

摘　　要：基于三阶段DEA模型和DEA-Malmquist动态指数方法,对2011—2020年我国除香港地区、澳门地区和台湾地区外的其他31个省(自治区、直辖市)的医疗卫生资源配置效率分别进行静态分析和动态分析,通过泰尔指数方法比较我国各地区医疗卫生资源配置全要素生产率的区域内差异和区域间差异.结果表明,剔除外部环境和随机扰动项后,2011—2020年我国医疗卫生资源配置综合技术效率的均值为0.8299,利用调整后投入计算的医疗卫生资源配置全要素生产率指数均值为0.948.由泰尔指数可以看出,我国各地区医疗服务发展不均衡,区域内泰尔指数贡献率过大.因此,政府应因地制宜,注重各省医疗卫生资源投入的公平性和均衡性,合理配置资源.Based on the three-stage DEA method and DEA-Malmquist dynamic index method,static analysis and dynamic analysis was used to analyze the efficiency of medical and health resources allocation in 31 provinces(autonomous regions and municipalities directly under the central government)except for Hong Kong region,Macao region and Taiwan region during 2011—2020.The Theil index method was used to compare the intra-regional and inter-regional differences of total factor productivity of medical and health resources allocation in different regions.The results showed that the average comprehensive technical efficiency of medical and health resource allocation was 0.8299 during 2011—2020 after excluding the external environment and random disturbance.The average value of the total factor productivity index of medical and health resource allocation calculated using the adjusted input was 0.948.From the Theil index,it can be seen that the development of medical services in all regions is unbalanced,and the contribution rate of Theil index in the region is too large.Therefore,governments should adapt to local conditions,pay attention to the fairness and balance of provincial medical and health resources input,and allocate resources reasonably.

关 键 词：医疗卫生资源配置效率 三阶段DEA模型 MALMQUIST指数 泰尔指数 区域差异 

分 类 号：O213[理学—概率论与数理统计] R197.1[理学—数学]