中国医疗保健服务的区域总因子生产率变化:马尔姆奎斯特数据环境分析的启动步骤
Meng Li1, Jianming Guo1, Siping Dong1,2,3
1National Institute of Hospital Administration of PRC, Beijing, China.
概括
从2010年到2019年,中国的区域医疗保健生产率每年下降0.9%. 尽管投入和产出增加,但总因子生产率 (TFP),技术效率和技术变化下降,可能是由于医疗保健改革.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 优化医疗保健提供和区域资源分配对于医疗保健提供者来说至关重要.
- 了解生产力动态对于基于证据的医疗保健政策至关重要.
研究的目的:
- 在中国省级评估医疗保健服务的生产力.
- 为改善医疗保健效率提供数据驱动的政策建议.
主要方法:
- 利用来自中国31个省份 (2010-2019) 的健康统计年鉴的面板数据.
- 采用Bootstrap-Malmquist数据环境分析 (DEA) 模型来测量总因子生产率变化 (TFPC) 和其组件.
- 选择的医疗保健输入 (床,医生,护士,工作人员) 和输出 (诊断访问,出院的住院患者).
主要成果:
- 中国的总因子生产率 (TFP) 从2010年到2019年平均每年下降0.9%.
- 省级TFP得分各不相同,TFPC,技术效率变化 (TEC) 和技术变化 (TC) 的总体下降趋势.
- 2013-2014年左右出现了转折点,TFP下降到2014年,然后增长到2019年.
结论:
- 尽管医疗保健投入和输出增加,但中国各省的整体生产率下降.
- 在TFP,TEC和TC中观察到的趋势可能与2009年开始的中国医疗改革的初始阶段有关.
- 政策干预应在医疗保健系统改革期间解决效率和能力逆转问题.
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:15Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
01:30Health Information Technology and Healthcare Information System
812
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
812