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张航, 赵临, 王耀刚. 基于数据包络分析中国卫生资源配置效率分析与评价[J]. 中国公共卫生, 2014, 30(10): 1321-1323. DOI: 10.11847/zgggws2014-30-10-28
引用本文: 张航, 赵临, 王耀刚. 基于数据包络分析中国卫生资源配置效率分析与评价[J]. 中国公共卫生, 2014, 30(10): 1321-1323. DOI: 10.11847/zgggws2014-30-10-28
ZHANG Hang, ZHAO Lin, WANG Yao-gang. Assessment on health resource allocation efficiency in China with data envelopment analysis[J]. Chinese Journal of Public Health, 2014, 30(10): 1321-1323. DOI: 10.11847/zgggws2014-30-10-28
Citation: ZHANG Hang, ZHAO Lin, WANG Yao-gang. Assessment on health resource allocation efficiency in China with data envelopment analysis[J]. Chinese Journal of Public Health, 2014, 30(10): 1321-1323. DOI: 10.11847/zgggws2014-30-10-28

基于数据包络分析中国卫生资源配置效率分析与评价

Assessment on health resource allocation efficiency in China with data envelopment analysis

  • 摘要: 目的 探讨针对中国卫生资源配置效率分析的方法及存在的问题,为进一部完善和优化卫生资源配置、推动我国卫生事业改革和发展提供科学依据。方法 采用数据包络分析(DEA)对2001—2011年我国总体卫生资源配置效率进行时间序列的纵向分析评价。结果 2001—2006年我国总体卫生资源配置效率DEA均无效,规模报酬均递增,卫生资源配置在当时规模下的投入未得到充分利用;2007—2011年,2007、2008、2009、2011年DEA均有效,规模报酬逐年递增并趋于稳定不变。非DEA有效的年份医疗卫生机构平均减少111 620所,卫生人员平均减少448 436人,床位数平均减少7.8万。结论 我国卫生资源配置效率正逐渐趋于合理和稳定,应当继续优化配置卫生资源、提升卫生事业管理水平等方面来提高卫生资源配置效率。

     

    Abstract: Objective To explore the method for analysis on health resource allocation efficiency and to provide evidences for the improvement of health resource allocation in China.Methods Using data envelopment analysis(DEA), a longitudinal time series analysis on the efficiency of China's overall health resource allocation during 2001-2011 was performed.Results The results of DEA showed invalid efficiency of China's overall health resource allocation, with increasing returns to scale and average reductions of 111 620 health institutions, 448 436 health staff, and 78 000 beds from 2001 to 2006, indicating health investment was not fully utilized;whereas DEA results demonstrated valid efficiency of the allocation, with a stable returns to scale, from 2007 to 2011.Conclusion Health resource allocation in China tends to be reasonable and stable and should be optimized continuously to improve the efficiency of health resource allocation.

     

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