2012—2020年我国基层医疗资源配置效率分析.docxVIP

《中国卫生经济》第41卷 第10期（总第476期）2022年10月 □ 卫生资源配置? HEALTHRESOURCEALLOCATION 2012—2020年我国基层医疗资源配置效率分析 梅子鸿① , 刘婵娟① 摘 要 目的：通过对我国基层医疗资源进行分析评价，为我国进一步优化卫生资源配置提供科学的实证依据。方法： 采用DEA-BBC模型和DEA-Malmquist对数据进行静态和动态分析。结果：我国基层医疗资源总量呈上升趋势，但还存在规模 效率不足、规模投入不平衡问题；基层医疗资源配置效率整体呈下降趋势，技术进步成为限制全要素生产效率的关键因素； 基层医疗配置效率表现为我国中部最优，东部次之，西部最后。结论：政府在加大对基层医疗卫生机构资源规模投入的同 时，也需要积极探寻适合当地的发展规模。在此过程中，要不断加强技术革新、组织管理体制改善以及基层卫生人员的培 养，从而推动基层医疗资源优化，提升基层医疗技术水平，形成优质的基层医疗服务，最终达到合理的卫生资源配置效率。 关键词 基层医疗卫生机构；卫生资源配置效率；数据包络分析 中图分类号 R1-9；F207 文献标志码 A 文章编号 1003-0743（2022）10-0054-05 Analysis Analysis on the Resource Allocation Efficiency of Primary Care in China from 2012to2020Based on DEA Model/ MEIZi-hong, LIUChan-juan//Chinese Health Economics, 2022,41(10):54-58 Abstract Objective:To provide a scientific empirical basis for further optimizing the allocation of health resources in China by analyzing and evaluating the primary health resources in China. Methods: Based on Data Envelope Analysis(DEA), the primary health and health resources in China from2012to2020were analyzed and evaluated, and the DATAwas statically and dynamically analyzed using the DEA-BBCmodel and DEA-Malmquist. Results:The total amount of primary health resources in China showed an upward trend, but there were still problems such as insufficient scale efficiency and unbalanced scale input; the overall allocation efficiency of primary health resources showed a downward trend, and technological progress became a key factor restricting the prog_ ress of all factor production factors; the efficiency of primary health allocation was optimal in the central part, followed by the eastern region, and the last in the western region. Conclusion:While increasing the scale of resources for primary health institutions, the gov_ ernmentalso needs to actively explore the scale of healthcare suitable for local development. In this process, it is necessary to contin_ uously strengthen the innovation of technology, the improvement