基于网络DEA模型的省际卫生资源配置效率分析  

Analysis of the Efficiency of Provincial Health Resource Allocation based on Network DEA Model

作　　者：王莉 生雅玮 邵屾 杜汋[1] WANG Li;SHENG Yawei;SHAO Shen;DU Que(School of Public Health,Tianjin Medical University,Tianjin,300070,China)

机构地区：[1]天津医科大学公共卫生学院,天津300070

出　　处：《中国社会医学杂志》2024年第6期753-757,共5页Chinese Journal of Social Medicine

基　　金：天津市哲学社会科学规划智库项目(TJKSZDWT1836)。

摘　　要：目的分析和评价中国省际卫生资源配置效率情况,为进一步合理优化配置资源提供依据。方法采用网络(dataenvelopmentanalysis,DEA)模型对我国30个省份的卫生资源配置效率情况进行分析,并利用耦合协调度模型分析各省份资源投入效率和服务产出效率情况。结果2011-2020年10年间,中国30个省份的卫生资源配置整体效率、资源投入效率和医疗服务产出效率均值分别为0.745、0.882和0.843。整体效率值和分阶段效率总体均呈上升趋势,2020年有所下降。从区域资源配置来看,东部地区的医疗资源投入效率均值最高(0.903),高于西部地区(0.878)和中部地区(0.859);中部地区的医疗服务产出效率值最高(0.921),高于西部地区(0.911)和东部地区(0.743)。从耦合协调度可知,中西部地区的水平值最高,均值为0.941,东部地区的水平值最低,均值为0.885。结论我国各省市卫生资源配置效率差异较大,各地区医疗卫生资源的投入水平和医疗服务产出水平之间协调度不高,应通过适宜的投入产出评估机制来调整资源配置结构,提升资源利用效率。Objective To analyze and evaluate the efficiency of inter-provincial health resources allocation in China,so as to provide a basis for further rational and optimal allocation of resources.Methods The network DEA model was used to analyze the allocation efficiency of health resources in 30 provinces in China,and the coupling coordination degree model was used to analyze the resource input efficiency and service output efficiency in each pro-vince.Results During the 10 years from 2011 to 2020,the mean values of the overall efficiency of health resource allocation,resource input efficiency and medical service output efficiency of 30 provinces in China were 0.745,0.882 and 0.843,respectively.The overall efficiency value and the phased efficiency showed an overall upward trend and decreased in 2020.From the perspective of regional resource allocation,the mean value of medical resource investment efficiency in eastern region was the highest(0.903),which was higher than that in western region(0.878)and central region(0.859).The output efficiency of medical services in central region was the highest(0.921),which was higher than that in western region(0.911)and eastern region(0.743).According to the coupling coordination degree,the level value in the central and western regions was the highest,with an average value of 0.941,while the level va-lue in the eastern region was the lowest,with an average value of 0.885.Conclusion The allocation efficiency of health resources varies greatly among provinces and cities in China,and the coordination between the input level of health resources and the output level of medical services in different regions is not high.It is necessary to optimize the allocation structure of resources and improve the utilization efficiency of resources through an appropriate inpu-toutput evaluation mechanism.

关 键 词：卫生资源配置 网络数据包络分析方法 耦合协调度模型 

分 类 号：R197.32[医药卫生—卫生事业管理]