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中国城市医疗卫生服务效率及其空间相关性研究:基于江苏省13个城市的面板数据

Research on Urban Medical and Health Services Efficiency and Its Spatial Correlation in China: Based on Panel Data of 13 Cities in Jiangsu Province.

作者信息

Lin Lingling, Wu Fang, Chen Wei, Zhu Chenming, Huang Tao

机构信息

School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing 211198, China.

出版信息

Healthcare (Basel). 2021 Sep 6;9(9):1167. doi: 10.3390/healthcare9091167.

Abstract

The improvement of the efficiency of medical and health services is of great significance for improving the high-quality and efficient medical and health services system and meeting the increasingly diverse health needs of residents. Based on the panel data of 13 cities in Jiangsu Province, this research analyzed the relative effectiveness of medical and health services from 2015 to 2019 using the super efficiency slack-based measure-data envelopment analysis model, and the Malmquist index method was used to explore the changes in the efficiency of medical and health services from a dynamic perspective. Furthermore, the spatial autocorrelation analysis method was used to verify the spatial correlation of medical and health services efficiency. In general, there is room for improvement in the efficiency of medical and health services in 13 cities in Jiangsu Province. There are obvious differences in regional efficiency, and there is a certain spatial correlation. In the future, the medical and health services efficiency of China's cities should be improved by increasing the investment in high-quality medical and health resources, optimizing their layout and making full use of the spatial spillover effects between neighboring cities to strengthen inter-regional cooperation and exchanges.

摘要

医疗卫生服务效率的提升对于完善高质量、高效率的医疗卫生服务体系以及满足居民日益多样化的健康需求具有重要意义。基于江苏省13个城市的面板数据,本研究运用超效率松弛测度-数据包络分析模型分析了2015年至2019年医疗卫生服务的相对有效性,并采用Malmquist指数法从动态视角探究医疗卫生服务效率的变化。此外,运用空间自相关分析方法验证医疗卫生服务效率的空间相关性。总体而言,江苏省13个城市的医疗卫生服务效率有待提高。区域效率存在明显差异,且具有一定的空间相关性。未来,应通过增加对优质医疗卫生资源的投入、优化布局并充分利用相邻城市间的空间溢出效应来加强区域间合作与交流,以提高我国城市的医疗卫生服务效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ea/8468911/48c08f92e450/healthcare-09-01167-g002.jpg

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