蔡武,王连丽.我国基层医疗卫生机构服务效率及影响因素研究[J].,2023,(1):85-92 |
我国基层医疗卫生机构服务效率及影响因素研究 |
Research on Service Efficiency and Influence Factors of Primary Medical Health Institutions in China |
投稿时间:2022-09-06 |
DOI: |
中文关键词: 基层医疗卫生机构 服务效率 三阶段DEA 空间计量回归 |
English Keywords:primary health care institutions service efficiency three-stage DEA spatial econometric ( |
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中文摘要: |
文章基于2011—2020年相关数据,采用三阶段DEA方法测度我国基层医疗卫生机构服务效率,并在此基础上使用空间计量模型分析其重要影响因素。研究发现:乡镇卫生院服务效率均值高于社区卫生服务中心服务效率均值;相邻省份间基层医疗卫生机构服务效率存在正向相互影响;医师诊疗均数对基层医疗卫生机构服务效率的影响显著为正,而管理人员占比对其影响显著为负;医护比对乡镇卫生院服务效率的影响显著为正,而对社区卫生服务中心服务效率的影响显著为负。基于上述结论,文章提出了提高基层医疗卫生机构服务效率的政策启示。 |
English Summary: |
Based on the relevant data from 2011—2020, this paper uses three-stage DEA method to measure the service efficiency of Chinese primary medical and health institutions, and then uses spatial measurement model to analyze its important influencing factors. The results showed that:(1) The average service efficiency of township health centers was higher than that of community health centers. (2) There is a positive interaction between the service efficiency of primary medical and health institutions in neighboring provinces. (3) The effect of physicians' average diagnosis and treatment on the service efficiency of primary medical and health institutions was significantly positive, while the ratio of managers was significantly negative. (4) The effect of the ratio of medical care on the service efficiency of township health centers was significantly positive, while the effect on the service efficiency of community health centers was significantly negative. Based on the above conclusions, this paper puts forward the policy inspiration to improve the service efficiency of primary medical and health institutions. |
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