初级医疗保健系统资源的分配是否会影响效率? 在中国的空间杜宾模型研究
Xinyue Sun1, Bo Lv1, Xiaoyi Gao2
1School of Public Health, Capital Medical University, No.10 Xitoutiao, Youanmenwai Street, Fengtai District, Beijing, 100069, China.
BMC primary care
|February 21, 2024
概括
中国的初级医疗保健 (PHC) 资源配置正在改善,但效率正在下降. 资源密度对PHC的效率有积极的影响,受经济和人口因素的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 中国的初级医疗保健 (PHC) 系统在资源配置和运营效率方面面临挑战.
- 改善医疗保健对整体卫生系统的有效性至关重要.
研究的目的:
- 调查初级卫生资源分配对中国初级卫生保健系统效率的影响.
- 分析空间效应和影响PHC效率的因素.
主要方法:
- 利用来自中国统计年鉴 (2017-2021) 的数据.
- 使用法构建了一个全面的健康资源密度指数 (CHRDI).
- 使用启动数据包裹分析 (DEA) 和空间杜宾模型计算PHC系统效率.
主要成果:
- 从2016年到2020年,初级卫生资源的分配增加了,而PHC的效率下降了.
- CHRDI证明了对PHC效率的显著正面直接 (0.820) 和溢出 (1.471) 影响.
- 人均国内生产总值,城市化和老年人数比例影响了医疗保健中心的效率.
结论:
- 尽管资源分配有所改善,但仍然存在显著的差异,需要提高效率.
- 资源分配和区域差异的空间溢出效应需要定制的政策.
- 人口老龄化和经济发展对 PHC 资源利用和健康需求产生影响.
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