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公共医疗卫生支出效率及其影响因素研究——以宁夏为例 预览 被引量:1

Analyzing The Efficiency of Public Health and Medical Expenditure and Its Influencing Factors in Ningxia
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摘要 目的:为宁夏充分利用卫生相关资源、改善医疗卫生支出提供政策建议。方法:运用DEA—Tobit两阶段分析模型核算宁夏22个区县(包括县级市)2011~2015年政府在医疗卫生支出方面的3种效率,包括综合技术效率TE、纯技术效率PTE以及规模效率SE情况。第二阶段对前文所得效率结果进行外部影响因素的Tobit回归。结果:由于纯技术效率值PTE过低从而宁夏整体综合效率TE较低。结论:各区县政府应调整公共卫生方面支出的规模,加强各区域之间医疗服务协作,使宁夏公共医疗卫生方面支出达到应有的效率水平。 Objective To provide policy references for making full use of health resources and perfecting health outcome in Ningxia. Method Based on DEA -Tobit two - stage analysis framework, the comprehensive technical efficiency( TE), pure technical efficiency(PTE) and scale efficiency (SE) of governmental health expenditure in 22 districts and counties in Ningxia from 2011 to 2015 were measured. And its external influencing factors were analyzed with Tobit panel regression model. Results The overall efficiency of medical expenditure in Ningxia is lower, which mainly results from the lower efficiency of pure technology. Conclusion It is suggested for the government to adjust the proportion of public health expenditure, strengthen medical service cooperation among different regions to promote the efficiency of medical and health care.
作者 张凤 任天波 王俏荔 Zhang Feng, et al.(School of Public Health and Management, Ningxia Medical University, Yinchuan, P. R. China )
出处 《中国卫生事业管理》 北大核心 2018年第6期428-432,共5页 Chinese Health Service Management
基金 2013年国家哲学社会科学项目(13BRK008)
关键词 公共医疗卫生支出 效率 影响因素 public medical expenditure efficiency influencing factors
作者简介 通讯作者:任天波
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