广西妇幼保健机构资源配置效率评价及提升路径研究  

Evaluation of Resource Allocation Efficiency and Improvement Path of Maternal and Child Health Institutions in Guangxi

作　　者：巫东玲 李宏亨 黄艳 李鸿玲[3] 谢爱红 陈成科 李金培 罗红叶 Wu Dongling;Li Hongheng;Huang Yan;Li Hongling;Xie Aihong;Chen Chengke;Li Jinpei;Luo Hongye(不详;School of Information and Management,Guangxi Medical University,Nanning,Guangxi,530021,China)

机构地区：[1]广西医科大学信息与管理学院,广西南宁530021 [2]南宁市第八人民医院,广西南宁530003 [3]广西中医药大学,广西南宁530200

出　　处：《中国初级卫生保健》2024年第6期36-40,共5页Chinese Primary Health Care

基　　金：广西哲学社会科学规划研究课题(21FGL031)。

摘　　要：目的:对广西妇幼保健机构卫生资源配置效率进行研究,分析卫生资源利用过程中存在的主要问题,探讨其卫生资源配置的提升路径,为优化妇幼保健机构卫生资源配置提出可行的对策与建议。方法:从《广西卫生健康统计年鉴(2022)》中选取妇幼保健机构的投入产出指标数据,采用数据包络分析法对投入产出效率进行综合评价,并利用模糊集定性比较分析方法,结合妇幼保健机构卫生资源配置现状,从社会、政府、组织3个层面构建卫生资源配置效率的不同提升路径。结果:广西14个地级市中有6个城市卫生资源配置有效,1个城市未能同时达到技术和规模有效,7个城市显示为无效,均存在不同程度的投入冗余及产出不足问题;提高资源配置效率的路径有4条,可归结为社会环境驱动型、政府-组织驱动型。另外,抑制资源配置效率的路径有3条,归结为全面失衡型、政府-社会环境缺失型。结论:广西大部分地区妇幼保健机构卫生资源配置不能同时达到技术和规模有效,卫生资源综合效率相对较低,不同地区间存在分布差异,不同城市间的卫生资源配置优化路径也存在差异。广西妇幼保健机构卫生资源配置效率的影响因素较为复杂,建议在加强机构设施建设的同时,注重政府与社会的投入,避免投入冗余及产出不足的问题。OBJECTIVE To study the efficiency of health resource allocation in maternal and child health institutions in Guangxi,analyze the main problems in the utilization of health resources,explore the improvement path of health resource allocation,and propose feasible countermeasures and suggestions for optimizing the allocation of health resources in maternal and child health institutions.METHODS The input-output indicators of maternal and child health institutions were selected from the GUANGXI HEALTH STATISTICAL YEARBOOK 2022,and the efficiency of input-output indicators was comprehensively evaluated using Data Envelopment Analysis(DEA).The fuzzy set qualitative comparative analysis method(FSQCA)was used to construct different paths to improve the efficiency of health resource allocation in maternal and child health institutions from three levels:society,government,and organization.RESULTS Out of the 14 prefecture level cities in Guangxi,6 cities had effective allocation of health resources,1 city/county failed to achieve both technical and scale effectiveness,and 7 cities/counties showed inefficiency,with varying degrees of input redundancy and insufficient output.There were four paths to building efficient resource allocation,which could be summarized as social environment driven and government organization driven.In addition,there were three paths to suppress the efficiency of resource allocation,which could be summarized as comprehensive imbalance and government social environment deficiency.CONCLUSION The allocation of health resources in maternal and child health institutions in most cities and counties in Guangxi cannot achieve both technical and scale effectiveness,and the overall efficiency of health resources is relatively low.There are distribution differences among different regions.There are also differences in the optimization paths of health resource allocation among different cities,and the factors affecting the efficiency of health resource allocation in maternal and child health hospitals in Guangxi

关 键 词：卫生资源配置 妇幼保健机构 定性比较分析方法 数据包络分析法 广西 

分 类 号：R197.64[医药卫生—卫生事业管理]