中国乡镇卫生中心卫生资源分配效率的空间影响
Nannan Meng1, Keyi Shen1, Xinyue Zheng1
1School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Frontiers in public health
|September 2, 2024
概括
在中国,农村卫生资源的分配通常是低效的,十年来效率下降趋势被观察到. 解决人口密度和医疗保健支出等因素对于改善至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 空间分析 空间分析
背景情况:
- 农村获得医疗保健对中国农村人口至关重要.
- 改善农村地区的卫生资源分配是政府的优先事项.
- 乡镇卫生中心 (THC) 是农村卫生保健的主要提供者.
研究的目的:
- 评估中国农村卫生资源分配效率的空间溢出效应.
- 检查影响乡镇卫生中心 (THC) 效率的因素.
- 为优化农村卫生资源分配提供建议.
主要方法:
- 用于效率分析 (2012-2021) 的超高效率SBM和全球马尔姆奎斯特模型.
- 莫兰测试THC效率的空间自相关性.
- 空间德宾模型 (SDM) 用于识别影响因素.
主要成果:
- 平均THC健康资源分配效率为0.676,表明一般的效率低下.
- 马尔姆奎斯特平均生产率指数为0.968,显示了效率下降的趋势.
- 发现了效率的显著空间自相关性,大多数省份都表现出聚集.
结论:
- 中国农村地区卫生资源分配效率低下,需要有针对性的干预措施.
- 利用空间溢出效应和解决关键影响因素可以提高THC的效率.
- 优化资源分配对于确保农村居民的健康权利至关重要.
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