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基于最优效率的政府财政传统医药投资规模与结构:来自中国河南省公立中医医院的证据。

The scale and structure of government financial investment in traditional medicine based on optimal efficiency: evidence from public traditional Chinese medicine hospitals (PTHs) of Henan province, China.

机构信息

College of Public Health, Zhengzhou University, 100 Science Avenue Gaoxin District, Zhengzhou, People's Republic of China.

College of Sanquan, Xinxiang Medical University, Xinxiang, People's Republic of China.

出版信息

BMC Health Serv Res. 2021 Feb 26;21(1):182. doi: 10.1186/s12913-021-06185-x.

DOI:10.1186/s12913-021-06185-x
PMID:33632230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7908777/
Abstract

BACKGROUND

Traditional medicine has been widely used to address relatively common illnesses. In this regard, Chinese government has been continually topping up its investments on public Traditional Chinese Medicine hospitals (PTHs) in recent years. This study aimed to assess the optimal scales and structure of the investments in Henan province by analyzing the contribution of Government Financial Investment (GFI) to the efficiency and revenue growth of PTHs as well as recommending proper investment strategies for implementation to policy-makers.

METHODS

This study was a panel data study, conducted in Henan Province, China. By collecting 143 PTHs' operational data from the year 2005 to 2017, Barro Economic Growth (BEG) model, Stochastic Frontier Analysis (SFA) and Vector Autoregressive (VAR) model were used to assess the efficiency and PTHs revenue.

RESULTS

The study observed the positive contribution of GFI to PTHs' revenue growth (average MPG = 2.84), indicating that the GFI had not reached the required optimal level of "Barro Law". In order to maximize the input-output efficiency, the scales of GFI on Grade III, Grade II A, Grade II B PTHs need to be increased by - 5.96, 4.88 and 11.51%, respectively. The third year following the first investment may be a more essential period for conducting an effective GFI evaluation in Henan Province.

CONCLUSIONS

GFI on PTHs usually has a long-term impact on PTHs. Governments can adjust its GFI policy so as to maximize the input-output efficiency.

摘要

背景

传统医学被广泛用于治疗常见疾病。在这方面,中国政府近年来一直在增加对公立中医医院(PTH)的投资。本研究旨在通过分析政府财政投资(GFI)对 PTH 效率和收入增长的贡献,评估河南省投资的最佳规模和结构,并向决策者推荐适当的投资策略。

方法

本研究是一项在中国河南省进行的面板数据研究。通过收集 2005 年至 2017 年 143 家 PTH 的运营数据,采用巴罗经济增长(BEG)模型、随机前沿分析(SFA)和向量自回归(VAR)模型评估效率和 PTH 收入。

结果

研究观察到 GFI 对 PTH 收入增长的积极贡献(平均 MPG=2.84),表明 GFI 尚未达到“巴罗定律”所需的最佳水平。为了最大限度地提高投入产出效率,需要分别减少三级、二级 A 级和二级 B 级 PTH 的 GFI 规模-5.96%、4.88%和 11.51%。在河南省进行有效的 GFI 评估的第三个年头可能是一个更重要的时期。

结论

PTH 的 GFI 通常对 PTH 有长期影响。政府可以调整其 GFI 政策,以最大限度地提高投入产出效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9360/7908777/e4b7f80b6c36/12913_2021_6185_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9360/7908777/8802b404af30/12913_2021_6185_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9360/7908777/e4b7f80b6c36/12913_2021_6185_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9360/7908777/8802b404af30/12913_2021_6185_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9360/7908777/e4b7f80b6c36/12913_2021_6185_Fig2_HTML.jpg

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