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张航, 赵临, 刘茜, 张馨予, 张瑶, 王耀刚. 中国卫生资源配置效率DEA和SFA组合分析[J]. 中国公共卫生, 2016, 32(9): 1195-1197. DOI: 10.11847/zgggws2016-32-09-17
引用本文: 张航, 赵临, 刘茜, 张馨予, 张瑶, 王耀刚. 中国卫生资源配置效率DEA和SFA组合分析[J]. 中国公共卫生, 2016, 32(9): 1195-1197. DOI: 10.11847/zgggws2016-32-09-17
ZHANG Hang, ZHAO Lin, LIU Qian.et al, . Efficiency of health resource allocation in China: data envelopment and stochastic frontier analysis[J]. Chinese Journal of Public Health, 2016, 32(9): 1195-1197. DOI: 10.11847/zgggws2016-32-09-17
Citation: ZHANG Hang, ZHAO Lin, LIU Qian.et al, . Efficiency of health resource allocation in China: data envelopment and stochastic frontier analysis[J]. Chinese Journal of Public Health, 2016, 32(9): 1195-1197. DOI: 10.11847/zgggws2016-32-09-17

中国卫生资源配置效率DEA和SFA组合分析

Efficiency of health resource allocation in China: data envelopment and stochastic frontier analysis

  • 摘要: 目的 应用科学、客观和较全面的评价方法对中国卫生资源配置效率进行研究,为卫生事业管理科学化提供依据。方法 采用数据包络分析和随机前沿分析,分别对2004-2013年间中国卫生资源配置的技术效率和成本效率进行评价分析,找出影响2种效率的因素。结果 2004-2013年,中国卫生资源配置技术效率不断提高,规模报酬趋于稳定,平均技术效率值为0.997,技术有效率为50%;中国卫生资源配置成本效率差异较大,平均成本效率值仅为0.690,有4个自变量(卫生人员数、诊疗人次、入院人数和平均住院日)对总成本具有负影响。结论 政府相关部门应当重视效率测算,合理解决中国卫生资源配置中存在的问题,加强科学化管理。

     

    Abstract: Objective To evaluate the efficiency of health resource allocation in China and to provide a basis for health care management.Methods Data on health resource allocation in China during 2004 to 2013 were collected and technical and cost efficiency of the allocation were analyzed using data envelopment analysis (DEA) and stochastic frontier analysis (SFA).Results During the 10-year period,the technical efficiency of health resource allocation in China increased and return to scale status was stable;the average technical efficiency value was 0.997 and the technology efficiency rate was 50%.The cost efficiency in China varied greatly during the period,with an average cost efficiency value of 0.690.There are four independent variables influencing total health care cost reversely,including the numbers of health personnel,outpatient clinic visit,hospital admission,and the average days of hospitalization.Conclusion Relevant government agencies should pay attention to efficiency estimation for reasonable health resource allocation.

     

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