2009—2019年内蒙古疾病预防控制中心卫生资源配置效率变动研究  

Changes in health resource allocation efficiency in Inner Mongolia Center for Disease Control and Prevention,2009-2019

作　　者：王金海 张敏 咸本松 WANG Jinhai;ZHANG Min;XIAN Bensong(Shenqi Ethnic Medicine College,Guizhou Medical University,Guiyang,Guizhou 550005,China;Faculty of Social Sciences and humanities,Mahidol University,Nakhom Pathom 73170,Thailand;School of Health Management,Inner Mongolia Medical University,Hohhot,Inner Mongolia 010110,China)

机构地区：[1]贵州医科大学神奇民族医药学院,贵州贵阳550005 [2]泰国玛希隆大学社会科学与人文学院,泰国佛统府73170 [3]内蒙古医科大学卫生管理学院,内蒙古呼和浩特010110

出　　处：《实用预防医学》2023年第11期1396-1400,共5页Practical Preventive Medicine

基　　金：内蒙古自然科学基金资助项目(2022LHQN07001,2022MS07001);内蒙古自治区高等学校科学技术项目(NJZY21592);内蒙古医科大学科技百万工程项目(YKD2020KJBW014);内蒙古医科大学“致远”人才计划项目(ZY0301017)。

摘　　要：目的分析内蒙古疾病预防控制中心(简称疾控中心)卫生资源配置效率的变化情况,为进一步加强疾控机构疾病预防能力建设提供科学依据。方法运用数据包络分析结合Malmquist指数分析内蒙古疾控中心卫生资源配置效率的变化情况。结果2009—2019年内蒙古疾控中心纯技术效率均值为1.000、规模效率均值为0.960,综合技术效率均值为0.960,2017年经费投入的冗余率最大,冗余率为0.353,2013、2014、2015、2016、2017、2019年为非DEA有效。2009—2019年内蒙古疾控中心全要素生产率变化指数均值为0.991,同期,东、中、西部全要素生产效率变化指数均值分别为0.995、0.987和1.009,西部地区明显高于东部和中部地区,技术进步指数均值分别为0.990,0.983和0.990。结论技术进步是阻碍疾控中心卫生资源配置效率提高的关键,东、中、西地区区域差异明显。有关部门应该科学合理调整各层级疾控预防中心的投入-产出结构,逐步减少信息壁垒,实现医疗技术、医疗资源的共享整合利用,统筹好区域内疾控中心卫生资源配置效率一体化发展。Objective To analyze the changes in the efficiency of health resource allocation in Inner Mongolia Center for Disease Control and Prevention(hereinafter referred to as CDC),and to provide a scientific basis for further strengthening the CDC’s capacity building in disease prevention.Methods Data envelopment analysis(DEA)and Malmquist index were used to analyze the changes in the efficiency of health resource allocation in Inner Mongolia CDC.Results From 2009 to 2019,the mean values of pure technical efficiency,scale efficiency and comprehensive technical efficiency in Inner Mongolia CDC were 1.000,0.960 and 0.960 respectively.The redundancy rate of fund investment in 2017 was the largest,with the redundancy rate being 0.353.The efficiency of health resource allocation in 2013,2014,2015,2016,2017 and 2019 was found to be non-DEA effective.The average value of the total factor productivity change index in Inner Mongolia CDC in 2009-2019 was 0.991.In the same period,the average change indexes of the total factor productivity in the east,middle and west regions were 0.995,0.987 and 1.009 respectively.The average change index of the total factor productivity was significantly higher in the west region than in the east and central regions,and the average technological progress indexes were 0.990,0.983 and 0.990 respectively.Conclusion Technological progress is the key to hinder the improvement of the efficiency of health resource allocation in the CDC,and there are obvious regional differences among the east,middle and west regions.Relevant departments should scientifically and rationally adjust the input-output structures of CDCs at all levels,gradually reduce information barriers,realize the sharing and integration of medical technology and medical resources,and coordinate the integrated development of health resource allocation efficiency in CDCs in the region.

关 键 词：疾病预防控制中心 卫生资源配置 MALMQUIST指数 

分 类 号：R197.2[医药卫生—卫生事业管理]