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中国医疗卫生机构技术效率及其区域差异研究 被引量:6

Study on the Technical Efficiency and Regional Differences of Medical and Health Institutions in China
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摘要 文章利用2004-2014年中国31个省域的面板数据,采用随机前沿方法研究了中国医疗卫生机构的技术效率及其区域差异。结果表明:中国医疗卫生机构全要素生产率增长率平均为2.14%。对其增长贡献最大的是技术进步,占比为47.29%;最小的是技术效率变化,占比为20.21%。卫生技术人员数量对技术效率有正向影响,而医疗卫生机构固定资产对其效率产生负向作用。样本期间中国医疗卫生机构的技术效率呈现下降趋势,由0.768下降为0.725。同时,各区域的技术效率值也表现为下降且存在差异,其中西部最高,东部次之,中部最小。要提高中国医疗卫生机构的技术效率水平,必须立足区域经济非均衡发展的现实,扩充卫生技术人员数量,适当引进竞争机制,加强医疗机构规范管理。 This paper uses 2004-2014 years' provincial panel data to analyze the technical efficiency and regional differences of medical and health institutions in China with the method of stochastic frontier analysis. The results indicate that, on average, the increase rate of total factor productivity of Chinese medical and health institutions is 2.14%. The growth is mainly because the improvement of agricultural technology, whose contribution accounting for 47.29%, while the change of technical efficiency consists of 20.21% only. The number of medical technology staff has positive effect on the technical efficiency. However, the fixed assets of institutions have a negative effect on its efficiency. The technical efficiency of Chinese medical and health institutions decreased from 0.768 to 0.725. Meanwhile, the values of technical efficiency show a declining trend and differences across regions, ranking from west, to east and to the middle region. In the context of unbalanced development of regional economy, it is necessary to expand the number of health technicians, introduce the competition mechanism, and strength the standardized management of medical institutions.
作者 杨希 张晓香
出处 《技术经济与管理研究》 北大核心 2017年第8期18-21,共4页 Journal of Technical Economics & Management
基金 湖北省教育厅人文社会科学研究一般项目(17Y061)
关键词 技术效率 全要素生产率 区域差异 医疗机构 Technical efficiency Total factor productivity Regional differences Medical institutions
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