内蒙古农村牧区基层医疗卫生资源供给效率研究  

Efficiency of primary medical and health resources supply in rural pastoral areas of Inner Mongolia

作　　者：苏丽娜[1] SU Lina(Chinese Nationality Community Center,Inner Mongolia University,Hohhot,Inner Mongolia Autonomous Region 010021,China)

机构地区：[1]内蒙古大学中华民族共同体中心,内蒙古呼和浩特市010021

出　　处：《中国农村卫生事业管理》2024年第8期565-570,共6页Chinese Rural Health Service Administration

基　　金：内蒙古自治区哲学社会科学基金项目(ESDZX202322)。

摘　　要：目的 通过对内蒙古自治区农村牧区基层医疗卫生资源供给效率的分析,进一步推动内蒙古地区医疗卫生健康水平高质量发展。方法 基于DEA-Malmquist指数模型,利用投入产出法测算2017—2021年内蒙古农村牧区医疗卫生资源供给的综合技术效率值、纯技术效率值、规模效率值,分析不同时期内蒙古各盟市农村牧区医疗卫生供给所处的规模报酬阶段,构建Tobit模型对影响内蒙古农村牧区综合技术效率的外部影响因素作出实证分析。结果 静态分析,2021年内蒙古地区仅有1个盟市综合技术效率为1.000,其余11个盟市综合技术效率、纯技术效率和规模效率均小于1.000。动态分析,全要素生产指数平均值为1.294,2017—2021年间效率水平整体呈上升趋势。结论 内蒙古地区各盟市农村牧区卫生资源供给效率仍需不断提升,应合理优化医疗卫生资源投入规模,促进区域城乡间医疗卫生资源合作。Objective To further promote the high-quality development of healthcare services in Inner Mongolia Autonomous Region by analyzing the efficiency of primary medical and health resources supply in rural pastoral areas. Methods Based on DEA-Malmquist index model, the input-output method was used to estimate the comprehensive technical efficiency value, pure technical efficiency value and scale efficiency value of medical and health resource supply in rural pastoral areas of Inner Mongolia from 2017 to 2021, and the returns to scale stage of medical and health supply in rural and pastoral areas in different cities of Inner Mongolia were analyzed. The Tobit model was constructed to make an empirical analysis of the external factors affecting the comprehensive technical efficiency of rural pastoral areas in Inner Mongolia. Results Static analysis results showed that in 2021, the comprehensive technical efficiency of only 1 city in Inner Mongolia was 1.000, while the comprehensive technical efficiency, pure technical efficiency and scale efficiency of the remaining 11 cities were all less than 1.000. Dynamic analysis results showed that the average value of the total factor production index was 1.294, and the overall efficiency level showed an upward trend during 2017—2021. Conclusions The efficiency of resource supply in the rural pastoral areas of the league cities in Inner Mongolia still needs to be improved. The scale of investment in medical and health resources should be optimized to promote regional cooperation in medical and health resources between urban and rural areas.

关 键 词：医疗卫生资源 供给效率 农村牧区 内蒙古 DEA-Malmquist指数模型 TOBIT模型 

分 类 号：R19[医药卫生—卫生事业管理]