我国中医类医疗机构服务效率的区域差异、动态演进及收敛性研究  

A study on regional differences,dynamic evolution and convergence of service efficiency of traditional Chinese medicine medical institutions in

作　　者：邓晶 李德勋 宋倩雯[3] 宋丹 王慧雨 DENG Jing;LI Dexun;SONG Qianwen;SONG Dan;WANG Huiyu(School of Pharmaceutical Economics and Management,Philosophy and Social Sciences of Anhui Province,Anhui University of Chinese Medicine,Hefei 230012;Key Laboratory of Data Science and Innovative Development of Traditional Chinese Medicine,Philosophy and Social Sciences of Anhui Province,Anhui University of Chinese Medicine,Hefei 230012;Purchasing Department,Shuangliu Maternal and Child Health Hospital,Chengdu 610299,China)

机构地区：[1]安徽中医药大学医药经济管理学院,安徽合肥230012 [2]安徽中医药大学数据科学与中医药创新发展安徽省哲学社会科学重点实验室,安徽合肥230012 [3]成都市双流区妇幼保健院采购科,四川成都610299

出　　处：《南京医科大学学报(社会科学版)》2025年第2期194-202,共9页Journal of Nanjing Medical University(Social Sciences)

基　　金：安徽省高校协同创新项目“数据科学与中医药创新发展安徽省哲学社会科学重点实验室”(GXXT-2022-095);安徽省高校科研项目“安徽省紧密型县域医共体慢病健康管理服务能力评价及路径创新”(2023AH050717);安徽省研究生质量工程项目“老年慢性病人群的智能居家药箱设计”(RC2400000774);安徽省教育厅新时代培人质量工程项目“医学院校公共管理学科研究生双创教育培养改革研究”(2023cxcys116)。

摘　　要：中医类医疗机构是我国中医药服务的主要提供者,其服务效率将会直接影响我国中医药服务的总体质量。文章采用非期望产出的松弛测度模型(SBM)测度我国30个省份2012—2021年中医类医疗机构服务效率,并在此基础上利用Dagum基尼系数、Kernel核密度估计方法和β收敛模型探究其区域差异、动态演变和收敛特征。研究表明,2012—2021年我国中医类医疗机构服务效率整体维持在0.96左右,东部、中部、西部和东北地区平均效率分别为1.10、0.90、0.94、0.66;2012—2021年Dagum基尼系数由0.221下降至0.140,区域差异最大来源由区域间差异变为超变密度;2012—2021年东部、中部和西部地区内的中医类医疗机构服务效率差异不断减小,多极化趋势逐渐减弱,东北地区内服务效率差异有所增强;我国各区域均存在绝对β收敛与条件β收敛趋势,也存在显著的区域异质性。Traditional Chinese medicine(TCM)medical institutions are the leading providers of TCM services in China,and their service efficiency directly affects the overall quality of TCM services nationwide.This study adopts the undesirable Slacks-Based Measurement(SBM)model to measure the service efficiency of TCM medical institutions across 30 provinces in China from 2012 to 2021.On this basis,it explores the regional differences,dynamic evolution,and convergence characteristics using the Dagum Gini coefficient,kernel density estimation,and β-convergence model.The results show that the overall service efficiency of TCM medical institutions in China remained at approximately 0.96 from 2012 to 2021,with average efficiencies of 1.10,0.90,0.94,and 0.66 in the eastern,central,western and northeastern regions,respectively.The Dagum Gini coefficient decreased from 0.221 to 0.140 during this period,indicating that the primary source of regional difference shifted from inter-regional differences to hyper-variable density.Within the eastern,central,and western regions,the service efficiency differences of TCM medical institutions narrowed with the multipolar trend gradually weakening,while the service efficiency differences within the Northeast region have been enhanced.There are Absolute and conditionalβconvergence observed across all regions of China,along with a significant regional heterogeneity.

关 键 词：中医类医疗机构 服务效率 区域差异 动态演进 收敛性 

分 类 号：R197.4[医药卫生—卫生事业管理]