基于DEA-ESDA模型和Malmquist指数的我国卫生服务供给效率研究  

Study on efficiency of health service supply in China based on DEA-ESDA model and Malmquist index

作　　者：耿娟[1] 邵博炜 吴睿[2] GENG Juan;SHAO Bowei;WU Rui(School of Statistics and Mathematics,Hebei University of Economics and Business,Shijiazhuang Hebei 050000,China;School of Economics and Management,Hubei University of Science and Technology,Xianning Hubei 437000,China)

机构地区：[1]河北经贸大学统计与数学学院,河北石家庄050000 [2]湖北科技学院经济与管理学院,湖北咸宁437000

出　　处：《卫生软科学》2024年第5期48-53,共6页Soft Science of Health

基　　金：国家社会科学基金一般项目-“双循环”新格局下增强农村基本公共服务保障能力的财政体制机制完善研究(21BJY067)。

摘　　要：[目的]分析我国卫生服务供给效率,为提高医疗卫生服务质量提供依据。[方法]基于我国2013-2021年31个省份卫生服务投入产出数据,运用DEA-BCC模型对数据进行静态分析;运用DEA-Malmquist方法进行动态分析;运用探索性空间数据分析(ESDA)研究空间分布特征。[结果]2013-2021年我国东部、中部地区卫生服务供给综合效率(VRS)值较高,东北地区、西部地区综合效率值较低;2021年综合效率均值为0.943,DEA非有效的省份有13个;全要素生产率下降主要由技术进步效率的下降导致;卫生服务供给效率具有显著空间负相关性,呈“低-高”“高-低”聚集。[结论]我国卫生服务供给效率普遍较低,不同地区间差距明显,卫生资源配置效率低,资源供给不均,存在技术“洼地”。各省需结合本地实际情况合理配置资源,充实人才队伍,鼓励技术创新,依托互联网信息技术,促进区域协同发展。Objective To analyze the efficiency of health service supply in China,and to provide a basis for improving the quality of medical and health services.Methods Based on input-output data of health services from 31 provinces in China from 2013 to 2022,the DEA-BCC model was used for static analysis,and DEA-Malmquist method was used for dynamic analysis.Exploratory spatial data analysis(ESDA)was used to study the spatial distribution characteristics.Results VRS of the comprehensive efficiency of health service supply in the eastern and central regions of China was higher from 2013 to 2021,while the comprehensive efficiency in the northeast and western regions was lower.In 2021,the mean value of comprehensive efficiency was 0.943,and there were 13 provinces with ineffective DEA.The decline in total factor productivity was mainly caused by the decline in the efficiency of technological progress.The efficiency of health service supply had a significant spatial negative correlation,showing a“low-high”and“high-low”aggregation.Conclusions The supply efficiency of health services in China is generally low,with noticeable disparities among different regions.The allocation efficiency of health resources is low,and the supply of resources is uneven.There are technical depressions.Provinces are urged to rationally allocate resources according to local conditions,enrich the talent team,encourage technological innovation,and promote regional coordinated development by leveraging internet technologies.

关 键 词：卫生服务 供给效率 全要素生产率 MALMQUIST指数 DEA-ESDA 

分 类 号：R197[医药卫生—卫生事业管理]