2012-2021年全国医疗卫生服务效率的空间差异及动态演进研究  

The Spatial Differences and Dynamic Evolution of China's Healthcare Service Efficiency from 2012 to 2021

作　　者：宋沙莎 邵丽娜 锁忠花 吴晶 郎颖[1,2] Song Sha-sha;Shao Lina;Suo Zhonghua;Lang Ying(Department of Health Policy and Management,College of Humanities and Management,Ningxia Medical University,Yinchuan,Ningxia,750004,China;不详)

机构地区：[1]宁夏医科大学人文与管理学院卫生政策与管理学系,宁夏银川750004 [2]银川市第一人民医院,宁夏银川750001

出　　处：《中国卫生经济》2024年第9期70-74,96,共6页Chinese Health Economics

基　　金：宁夏自然科学基金项目(2022A0339)。

摘　　要：目的:对全国及华北、东北、华东、华中、华南、西南、西北地区医疗卫生服务效率的纵向变化趋势和空间集聚特征进行研究。方法:采用Malmquist指数模型测量2012—2021年我国医疗卫生服务效率,运用Dagum基尼系数以及分解法来测量医疗卫生服务效率地区差距的大小及来源,用Kernel密度估计法研究我国医疗卫生服务效率的纵向变化趋势和空间集聚特征。结果:我国总体医疗卫生服务效率在不断增长,地区间差距逐渐缩小,呈现集中趋势特点;各地区医疗卫生服务效率水平差距并未扩大,但发现部分地区内差距仍然显著。结论:全国医疗服务效率小幅增长,地区差距总体下降,但基尼系数显示,地区间贡献率仍是主要差距来源。全国医疗卫生服务效率总体集中,但部分地区效率较低,内部差距明显。Objective:To study the longitudinal trends and spatial clustering characteristics of healthcare service efficiency in China and in North,Northeast,East,Central,South,Southwest,and Northwest China.Methods:The Malmquist index model is used to measure China's healthcare service efficiency from 2012 to 2021,the Dagum Gini coefficient as well as the decomposition method are used to measure the magnitude and source of regional gaps in healthcare service efficiency,and the Kernel density estimation is used to study the longitudinal trend of change and spatial agglomeration characteristics of China's healthcare service efficiency.Results:China's overall healthcare service efficiency is growing,and the inter-regional gap is gradually narrowing,characterized by a concentration trend;the gap in the level of healthcare service efficiency between regions did not widen during the period under examination,but it was found that the gap within some regions was still significant.Conclusion:The national health service efficiency is growing slightly,and the regional gap is generally decreasing,but the Gini coefficient shows that the inter-regional contribution is still the main source of the gap.National health service efficiency is generally concentrated,but some regions are less efficient,with significant internal disparities.

关 键 词：医疗卫生服务 效率 空间分布 地区差异 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F241[经济管理—劳动经济]