中国农村三级医疗卫生服务体系医疗资源配置效率评价。
Evaluation of the allocation efficiency of medical and health resources in China's rural three-tier healthcare system.
机构信息
College of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China.
College of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China.
出版信息
Public Health. 2023 May;218:39-44. doi: 10.1016/j.puhe.2023.02.009. Epub 2023 Mar 23.
OBJECTIVES
Evaluating the efficiency of health resource allocations is critical to improving China's rural three-level health service network.
STUDY DESIGN
This was a prospective panel data study.
METHODS
Based on panel data of the medical and health resources of 31 provinces within rural China, collected from 2003 to 2020, this study uses a three-stage Data Envelopment Analysis-Malmquist index to analyze the evolution of efficiency and productivity.
RESULTS
The efficiency and productivity of county and county-level medical and health institutions rank highest, followed by township hospitals, whereas village clinics are shown to be in great need of improvement. A decline in technical advancement appears as a crucial factor exacerbating loss of factor productivity.
CONCLUSIONS
Policy makers should further optimize the efficiency of medical resource allocation and promote the coordinated development of rural health in China.
目的
评估卫生资源配置效率对改善中国农村三级卫生服务网络至关重要。
研究设计
这是一项前瞻性面板数据研究。
方法
本研究基于 2003 年至 2020 年中国农村 31 个省份的医疗卫生资源面板数据，采用三阶段数据包络分析-马尔基斯指数法分析效率和生产力的演变。
结果
县及县级医疗机构的效率和生产力排名最高，其次是乡镇卫生院，而村诊所则需要大力改进。技术进步的下降是加剧要素生产力损失的关键因素。
结论
政策制定者应进一步优化医疗资源配置效率，促进中国农村卫生的协调发展。
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