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评估医疗服务的财务效率及其财务发展的影响因素:基于中国省级数据的三阶段 DEA 模型的新证据。

Assessing the financial efficiency of healthcare services and its influencing factors of financial development: fresh evidences from three-stage DEA model based on Chinese provincial level data.

机构信息

School of Economics & Management, Tongji University, Shanghai, 200092, China.

School of Clinical Medicine, Hebei Medical University, Shijiazhuang, 050017, China.

出版信息

Environ Sci Pollut Res Int. 2022 Mar;29(15):21955-21967. doi: 10.1007/s11356-021-17005-4. Epub 2021 Nov 13.

Abstract

Pediatrics is an integral part of public health services. With the impact of the epidemic and the high-quality transformation of China's development, the contradiction in the supply of pediatric public services has become more prominent. Scientific evaluation of the efficiency and quality of pediatric services, clarifying the redundancy of pediatric input resources and adjusting the construction of pediatric services with the help of influencing factors have become important research topics. This paper uses the three-stage SBM-DEA model to summarize the efficiency of China's pediatric services using panel data from 31 provinces and cities in 2008-2019, taking into account undesired outputs such as doctor-patient disputes. Among them, the evaluation system focuses on the role of financial, capital, and other factors, and the Tobit regression model is used to clarify the degree of influence of various factors. The study found that (1) China's pediatric service supply has the characteristics of geographic heterogeneity. (2) The redundancy of various resource inputs is apparent, and the supporting capacity of financial capital is not significant. (3) The economic, technological, and professional environment helps to digest the redundancy of inputs. (4) Capital, urbanization, education development, and birth rate increase under financial operation will promote the increase of the efficiency of pediatric public services.

摘要

儿科学是公共卫生服务的一个组成部分。受疫情影响以及中国发展的高质量转型,儿科公共服务的供给矛盾更加突出。科学评估儿科服务的效率和质量,厘清儿科投入资源的冗余,并借助影响因素调整儿科服务建设,已成为重要的研究课题。本文利用三阶段 SBM-DEA 模型,基于 2008-2019 年 31 个省、市的面板数据,在考虑医患纠纷等非期望产出的情况下,对我国儿科服务效率进行了总结。其中,评价体系侧重于财政、资本等因素的作用,利用 Tobit 回归模型厘清了各种因素的影响程度。研究发现:(1)我国儿科服务供给具有地域异质性特征。(2)各种资源投入的冗余明显,财政资金支撑能力不显著。(3)经济、技术和专业环境有助于消化投入的冗余。(4)在财政运行下,资本、城市化、教育发展和出生率的提高将促进儿科公共服务效率的提高。

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