摘要
[目的]分析我国长江经济带医疗卫生资源配置效率及其变化趋势和影响因素,提升长江经济带地区卫生机构服务效率。[方法]基于2010-2023年长江经济带11个省份数据,采用三阶段DEA模型评估医疗卫生资源配置效率,引入Tobit模型分析其影响因素。[结果]剔除环境因素与随机误差后,2010-2023年区域医疗卫生资源配置综合效率、纯技术效率和规模效率分别为0.842、0.891、0.939,Malmquist指数测算得出区域卫生机构服务效率为0.858~1.048;城镇化水平、地区发展总值和污染指数对于区域医疗卫生资源配置具有正向影响,教育水平影响具有维度异质性。[结论]规模效率不足是制约全要素生产率提升的关键瓶颈;外部环境对医疗卫生服务效率影响显著且具有明显的区域异质性;城镇化率和GDP指数是影响医疗卫生资源配置效率的核心因素,二者作用机制存在差异。
Objective To evaluate the allocative efficiency,changing trends and influencing factors of medical and health resources in China's Yangtze River Economic Belt,to improve the service efficiency of health institutions in the Yangtze River Economic Belt region.Methods Based on the data of 11 provinces in the Yangtze River Economic Belt from 2010 to 2023,the allocative efficiency of medical and health resources was evaluated by using a three-stage DEA-Tobit modeling,and the influencing factors were analyzed by using the Tobit model.Results After removing environmental factors and random errors,the comprehensive efficiency,pure technical efficiency and scale efficiency of regional medical resource allocation from 2010 to 2023 were 0.842,0.891 and 0.939,respectively.The service efficiency of regional health institutions measured by the Malmquist index was 0.858-1.048.The level of urbanization,the total value of regional development and the pollution index had a positive impact on regional healthcare resource allocation,and the impact of education level had dimensional heterogeneity.Conclusions Insufficient scale efficiency is the key bottleneck restricting the improvement of total factor productivity.The external environment has a significant impact on the efficiency of medical and health care services and exhibits obvious regional heterogeneity.The urbanization rate and GDP index are the core factors affecting the efficiency of medical and health resource allocation,and there are differences in the mechanism of the two.
作者
卫艺文
陶群山
WEI Yiwen;TAO Qunshan(School of Pharmaceutical Economics and Management,Anhui University of Chinese Medicine,Hefei Anhui 230012,China;Anhui Provincial Key Laboratory of Philosophy and Social Science on Data Science and Innovative Development of Traditional Chinese Medicine,Hefei Anhui 230012,China)
出处
《卫生软科学》
2025年第8期64-70,共7页
Soft Science of Health
基金
安徽省高校协同创新项目(GXXT-2022-095)
安徽省高校优秀科研创新团队(2022AH010039)
安徽省哲学社会科学规划项目研究成果(AHSKY2021D23)。
关键词
长江经济带
医疗卫生资源配置效率
三阶段DEA-Tobit模型
Yangtze River Economic Belt
the allocative efficiency of medical and health resources
three-stage DEA-Tobit modeling
