城镇化对基层医疗卫生机构运行效率影响分析  

Impact of urbanization on the operational efficiency of grassroots healthcare institutions

作　　者：王胜 解京泉 亓霏 尹文强 WANG Sheng;XIE Jingquan;QI Fei;YIN Wenqiang(Weifang Central Blood Station,Weifang,Shandong 261043,China;不详)

机构地区：[1]潍坊市中心血站,山东潍坊261043 [2]山东第二医科大学管理学院

出　　处：《中国农村卫生事业管理》2025年第3期196-201,共6页Chinese Rural Health Service Administration

基　　金：教育部人文社会科学研究青年项目(22YJAZH137)。

摘　　要：目的分析潍坊市2018—2022年基层医疗卫生机构的运行效率,探讨城镇化对潍坊市基层医疗卫生机构运行效率的影响,为优化医疗卫生资源配置、提高医疗服务质量提供决策支持。方法采用三阶段DEA模型结合Malmquist指数测量基层医疗卫生机构运行效率的静态和动态变化,并利用Tobit模型分析城镇化对基层医疗卫生机构运行效率的影响。结果剔除环境变量和随机干扰的影响后,2022年潍坊市基层医疗卫生机构的综合效率为0.946,环境变量对基层医疗卫生机构运行效率的影响显著。2018—2022年全要素生产率变化指数均值为1.004,超过一半的县区技术进步指数小于1。Tobit结果显示,城镇化对基层医疗卫生机构的运行效率呈现显著正相关(P<0.01)。结论应根据城镇化进程和人口分布,合理布局基层医疗机构。同时加强社区卫生服务中心、乡镇卫生院的资源整合,提高信息化建设水平,确保人、财、物联系畅通。Objective To assess the operational efficiency of grassroots healthcare institutions in Weifang City from 2018 to 2022,to examine the influence of urbanization on this efficiency,so as to offer strategic insights for optimizing healthcare resource allocation and enhancing healthcare service quality.Methods A three-stage DEA model,combined with the Malmquist index,was employed to measure the static and dynamic shifts in operational efficiency of grassroots healthcare institutions.Additionally,the Tobit model was utilized to analyze the im-pact of urbanization on their operational efficiency.Results After controlling for environmental variables and random disturbances,the overall efficiency of grassroots healthcare institutions in Weifang City in 2022 stood at 0.946,with significant environmental influences on their operational efficiency.The mean change index for total factor productivity from 2018 to 2022 was 1.004,with over half of the counties and districts recording a technological progress index below 1.Tobit analysis results revealed a strong positive correlation between urbanization and the operational efficiency of grassroots healthcare institutions(P<0.01).Conclusions The layout of grassroots healthcare institutions should be strategically planned in alignment with the urbanization progression and population distribution.Furthermore,there should be enhanced integration of resources within community health service centers and township health centers,along with advancements in information technology,to ensure seamless connectivity among personnel,finances,and resources.

关 键 词：城镇化 基层医疗卫生机构 三阶段DEA TOBIT模型 运行效率 

分 类 号：R19[医药卫生—卫生事业管理]