中国和东盟2015-2020年卫生系统效率:DEA-Tobit和SFA分析应用程序
Jing Kang1,2,3, Rong Peng4, Jun Feng5
1Health and Policy Research Center, Guangxi Medical University, Nanning, China.
BMJ open
|September 6, 2023
概括
在中国和东盟国家,卫生系统的低效仍然存在. 低收入/中等收入国家表现更好,强调技术效率是提高总因子生产率 (TFP) 的关键.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 医疗系统比较分析与分析.
背景情况:
- 卫生系统的效率对于资源分配和人口健康结果至关重要.
- 中国和东南亚国家联盟 (东盟) 国家代表着不同的经济和人口格局,不同的卫生系统结构.
- 评估和比较这些地区的卫生系统效率为政策制定和区域间学习提供了洞察力.
研究的目的:
- 评估和比较2015年至2020年间中国和10个东盟国家的卫生系统效率.
- 确定影响这些地区卫生系统效率的因素.
- 为提高卫生系统绩效提供基于证据的建议.
主要方法:
- 使用DEA-Malmquist模型进行数据包围分析 (DEA),以评估随时间的效率变化.
- 使用随机边界方法 (SFA) 模型进行健康效率分析.
- 应用托比特回归分析来确定影响卫生系统效率的因素.
主要成果:
- 在2020年,平均效率是:技术 (0.700),纯技术 (1000),和规模 (0.701).
- 从2015年到2020年,平均总因子生产率 (TFP) 指数为0.962 (下降1.4%),技术效率平均为1.016和技术进步平均为0.947.
- 人均国内生产总值和城市人口显著影响了卫生系统的效率,低收入/中等收入国家表现优于高收入国家.
结论:
- 在中国和大多数东盟国家,卫生系统存在显著的低效率.
- 提高技术效率对于整体增强TFP至关重要.
- 建议包括加强规模效率,加速技术进步,促进针对特定国家背景的区域卫生合作.
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