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我国省域卫生资源利用效率的实证研究
引用本文:黄苑清,霍海英,吴敬兰,邓英古,陈丽梅.我国省域卫生资源利用效率的实证研究[J].中国社会医学杂志,2017,34(1).
作者姓名:黄苑清  霍海英  吴敬兰  邓英古  陈丽梅
作者单位:1. 广西医科大学信息与管理学院,广西 南宁, 530021;2. 南宁市疾病预防控制中心,广西 南宁, 530011
基金项目:国家自然科学基金项目,广西高校科学技术研究项目
摘    要:目的 了解我国31个省的卫生资源利用率的动态变化及影响因素,为更好地促进我国卫生资源的有效利用提供科学的基础资料和参考.方法 采用基于数据包络分析(DEA)的Malmquist指数分解对我国2007—2012年卫生资源面板数据(3项投入指标,4项产出指标)进行分析.结果 5年间我国卫生资源生产率的年平均增长率为3.4%,再一步分解发现效率变化年平均增长率小于1%,而技术变化年平均增长率为2.8%;纯技术效率年平均增长0.5%,规模效率年平均减退9.9%.结论 我国卫生资源生产率增长较缓慢,并且主要得益于技术进步,存在技术衰退的现象,应合理调配卫生资源的管理和配置,激发纯技术效率和规模效率.

关 键 词:全要素生产率  Malmquist指数  效率变化  技术变化

Analysis of the Provincial Health Resources Utilization Efficiency in China
Abstract:Objectives The study intended to investigate the dynamic changes of the utilization rate of health re-sources in 31 provinces of China,and then provide the scientific basis for the effective utilization of health resources in China.Methods The panel data of 2007—2012(three input indexes and four output indexes)from resources effi-ciency in China and was collected measured with Malmquist index of DEA programs of DEAP 2.1.Results The av-erage annual TFP growth rate in this period was 3.4%.A further decomposition found that the average annual growth rate of efficiency change was less than 1%,and the average annual growth rate of technology change was 2.8%,the average annual growth of pure technical efficiency 0.5%,and the average annual decline scale efficiency 9.9%.Conclusions The study showed the growth of health resources in China was slow,and was mainly due to technological progress,the phenomenon of technological recession.The management and allocation of health re-sources should be adj usted to stimulate the efficiency and scale efficiency of pure technology.
Keywords:Total factor productivity  Malmquist index  Efficiency change  Technology change
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