2020年山西省卫生资源配置现状和利用效率分析  

Analysis of the Current Situation and Utilization Efficiency of Health Resource Allocation in Shanxi Province in 2020

作　　者：李菲 常家宁 LI Fei;CHANG Jianing(School of Management,Shanxi Medical University,Taiyuan 030001,Shanxi,China)

机构地区：[1]山西医科大学管理学院,山西省太原市030001

出　　处：《中国卫生信息管理杂志》2025年第2期320-327,共8页Chinese Journal of Health Informatics and Management

基　　金：山西省回国留学人员科研教研资助项目“医联体视阈下山西省卫生资源配置空间可达性与公平性研究”(2023-097)。

摘　　要：目的分析2020年山西省卫生资源配置效率,旨在优化该省卫生资源配置与利用,促进区域卫生服务高效发展。方法选取山西省各地市相关数据,运用三阶段数据包络模型,通过剔除环境因素和随机噪声的影响,准确衡量各地市资源配置效率。结果剔除干扰后,全省卫生资源配置综合技术效率值由0.873升至0.949,纯技术效率由0.924升至1,规模效率变化不大。经济发达地市卫生资源配置效率较高,环境因素对经济较弱地市影响较大,人口密度对千人卫技人员数具有正向影响,对千人床位数具有负向影响。结论应转变以医院为中心的传统卫生资源配置模式,科学调整规模,整合有限资源,提升山西省的整体卫生服务水平。Objective To analyze the efficiency of health resource allocation in Shanxi Province in 2020,aiming to optimize the allocation and utilization of health resources and promote the efficient development of regional health services.Methods Relevant data from various cities in Shanxi Province were selected,and a three-stage data envelopment analysis(DEA)model was applied to accurately measure the resource allocation efficiency of each city by eliminating the influence of environmental factors and random noise.Results After removing interference,the overall technical efficiency of health resource allocation in the province increased from 0.873 to 0.949,while pure technical efficiency rose from 0.924 to 1,with little change in scale efficiency.Economically developed cities had higher health resource allocation efficiency.Environmental factors had a greater impact on cities with weaker economic development.Population density had a positive impact on the number of health technical staff per 1,000 people but a negative impact on the number of hospital beds per 1,000 people.Conclusion It is recommended to shift from the traditional hospital-centered resource allocation model,scientifically configure the scale of resources,integrate limited resources,and improve the overall level of health services in Shanxi Province.

关 键 词：卫生资源配置 DEA模型 SFA回归模型 投入产出效率 

分 类 号：R197.1[医药卫生—卫生事业管理]