摘要
目的分析2019—2023年山东省“一群两心三圈”区域发展格局下卫生资源配置效率,为优化卫生资源配置提供参考。方法运用数据包络分析的BCC模型对2023年山东省卫生资源配置效率进行横向分析;采用数据包络分析的Malmquist指数模型对2019—2023年山东省卫生资源配置效率进行纵向分析。结果2019—2023年山东省卫生资源投入与产出总体上呈现上升态势。2023年山东半岛城市群中,山东大学、东营市、德州市、青岛市、日照市、临沂市、菏泽市的纯技术效率和规模效率为1,呈现DEA有效;枣庄市、济宁市纯技术效率和规模效率中的一项值为1,呈现DEA弱有效;淄博市、泰安市、聊城市、滨州市、烟台市、潍坊市、威海市纯技术效率和规模效率均小于1,呈现DEA无效。2019—2023年山东省整体卫生资源配置全要素生产率均值为1.007,平均每年上升0.70%,全要素生产率指数呈现胶东经济圈>省会经济圈>鲁南经济圈。结论2023年山东半岛城市群卫生资源总量大,卫生资源配置效率整体未达最优,存在区域间和区域内差异;2019—2023年山东省整体卫生资源配置效率呈基本稳定且微增态势,存在城市效率分化、技术进步不均及区域发展失衡问题。可通过优化区域布局破解卫生资源分布不均难题;通过强化区域协同破解卫生资源管理脱节难题;通过区域差异化策略破解城市效率分化及区域发展失衡难题。
Objective To analyze the efficiency of healthcare resource allocation under the‘one cluster,two centers,three circles′regional development framework in Shandong Province from 2019 to 2023,and to provide a reference for optimizing healthcare resource distribution.Methods The BCC model of data envelopment analysis(DEA)was employed for a cross-sec-tional analysis of healthcare resource allocation efficiency in Shandong Province in 2023.The Malmquist index model of DEA was used for a longitudinal analysis of healthcare resource allocation efficiency in Shandong Province from 2019 to 2023.Results From 2019 to 2023,healthcare resource inputs and outputs in Shandong Province generally showed an upward trend.In 2023,a-mong the cities within the Shandong Peninsula Urban Agglomeration,Jinan,Dongying,Dezhou,Qingdao,Rizhao,Linyi,and Heze achieved pure technical efficiency and scale efficiency values of 1,demonstrating DEA efficiency.Zaozhuang and Jining exhibited DEA weak efficiency,with one of their pure technical efficiency or scale efficiency values equalling 1.Zibo,Tai′an,Liaocheng,Binzhou,Yantai,Weifang,and Weihai all exhibited DEA inefficiency,with both pure technical efficiency and scale efficiency below 1.The mean total factor productivity(TFP)for Shandong Province′s overall healthcare resource allocation from 2019 to 2023 was 1.007,rising by an average annual rate of 0.70%.The TFP index showed the following hierarchy:the eastern Shandong economic circle>the provincial capital economic circle>the southern Shandong economic circle.Conclusion In 2023,the Shandong Peninsula Urban Agglomeration possessed substantial healthcare resources,yet overall resource allocation ef-ficiency remained suboptimal,with disparities existing both between and within regions.From 2019 to 2023,the overall efficien-cy of healthcare resource allocation in Shandong Province showed a trend of basic stability with slight increases,yet issues such as divergent city-level efficiency,uneven technological progress,and regional development imbalances persisted.The uneven distri-bution of healthcare resources could be addressed by optimising regional layout;the disconnect in healthcare resource manage-ment could be resolved by strengthening regional coordination;and divergent city-level efficiency and regional development imbal-ances could be tackled through differentiated regional strategies.
作者
靳晓翔
王潇悦
董文兴
韩春蕾
魏飞
李红红
胡乃宝
Jin Xiaoxiang;Wang Xiaoyue;Dong Wenxing;Han Chunlei;Wei Fei;Li Honghong;Hu Naibao(School of Public Health,Binzhou Medical University,Yantai 264003,China;School of Health Management,Binzhou Medical University,Yantai 264003,China;Department of Public Health,Yantai Yuhuangding Hospital,Yantai 264001,China)
出处
《中国医院统计》
2026年第1期76-82,共7页
Chinese Journal of Hospital Statistics
基金
国家自然科学基金项目(72374033)
山东省社会科学规划研究项目(25CGLJ01)
山东省卫生健康政策研究课题(WZY202514)。
关键词
“—群两心三圈”区域发展格局
卫生资源配置效率
数据包络分析
regional development pattern of′one group,two centers and three circles′
health resource allocation effi-ciency
data envelopment analysish
