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根据DEA和空间面板模型,估计中国县级医疗保健资源的分布和融合,以及中国的分配效率
Jialiang Sun1, Zesheng Sun1, Chenyi Yang1
1Shanghai Normal University, Shanghai, China.
概括
2009年中国的医疗改革改善了县级医疗资源的空间分布. 虽然整体效率没有提高,但低效县的效率下降,显示改革后的趋同.
科学领域:
- 卫生经济学 卫生经济学
- 空间分析 空间分析
- 公共卫生政策 公共卫生政策
背景情况:
- 2009年中国的新医疗改革旨在解决医疗资源分配的空间不平衡问题.
- 改革对县级分配效率及其空间融合的具体影响仍未得到充分探索.
研究的目的:
- 分析医疗保健资源分配效率在中国县级的空间分布,演变和趋同.
- 评估2009年改革对这些效率指标的影响.
主要方法:
- 利用来自中国河南省158个地区的县级数据.
- 使用数据包围分析 (DEA) 来估计效率,差异分析 (ANOVA) 和空间描述性分析.
- 应用了一个空间面板模型来测试医疗保健资源分配效率的县级趋同.
主要成果:
- 有效县的数量没有增加,但无效县的数量减少了.
- 与非市政县相比,市政区的分配效率较低.
- 在分配效率中观察到一个积极的空间相关性,在改革后的县级有显著的趋同.
结论:
- 中国2009年改革使得医疗保健资源分配效率在县级的空间分布更加平衡.
- 进一步的长期投资和有针对性的资源配置是必要的,以提高效率的收,并增加有效县的数量.
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