我国县级妇幼保健机构的卫生资源配置效率评价.pdfVIP

卫生政策 我国县级妇幼保健机构的卫生资源配置效率评价水 rceAllocation of EvaluationonHealthResou MaternalandChildCareI nstitutionsat inChina County-level Ding—wan Qi—sheng刘盼盼LIUPan—pan 口胡慧美HUHui—mei陈定湾CHEN高启胜GAO 目的对我国县级妇幼保健机构的卫生资源配置进行评价，探索优化资源配置的措施和途径，为卫生规 划和深化卫生改革提供政策建议。方法用数据包络分析方法，对全国27个省(自治区)的县级妇幼保健资 源配置的横向及纵向效率进行相对有效性评价。结果浙江、江苏、江西和广西等4个省份的县级妇幼保健 资源配置效率呈相对有效；2005-2011年和2013年的规模报酬均递增，2014年卫生资源配置效率相对有效， 规模效率不变。结论建议加强区域卫生规划，适当调整县级妇幼保健资源配置结构和规模。 maternalchildhealthcareinstitutionsat level Toevaluatehealthresourceallocation ofChina7S and Abstract：Objective efficiency county and tofindout and to resource could recommendationsfor and tried measuresmethods health allocation，which optimize providepolicy planning healthreform．MethodsThehorizontalandvertical ofmaternalandchildhealthresourcesallocationat in27 deepening efficiency county—level ofChinawasevaluatedwithdata method．ResultsThematernalandchildcarehealthresourceallocation provinces envelopmentanalysis efficiency 2011 2013 at in and was effective．Theirreturnstoscalefrom2005to andin were Guangxirelatively county-levelZhejiang，Jiangsu，Jiangxi in to were Itis resourceallocation 2014was effectiveandthereturnsscale increasing．Health efficiency relatively unchanged．Conclusionproposed