中国的专业公共卫生服务有多高效? 一个数据包裹分析和地理加权回归方法
Qian Bai1,2, Lieyu Huang3, Yan Guo3
1State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao, Macao SAR, China.
Frontiers in public health
|February 27, 2025
概括
中国的公共卫生设施效率不足于最佳水平,技术效率下降,区域差异很大. 诸如支出,人口老龄化和排放等因素影响业绩,需要针对性干预以实现平衡.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 中国的公共卫生系统面临着慢性/传染病和人口老龄化的日益增长的需求.
- 由于公共卫生预算有限,有效的资源利用至关重要.
研究的目的:
- 评估中国专业公共卫生设施的技术效率.
- 分析这种效率的时间和空间分布.
- 确定影响公共卫生设施效率的因素.
主要方法:
- 使用基于超级软件的测量数据包裹模型 (SBM-DEA) 来计算效率 (2017-2019).
- 使用逐步回归来识别重要的独立变量.
- 应用地理加权回归 (GWR) 来分析空间变化.
主要成果:
- 平均技术,纯技术和规模效率分别为0.6569,0.7336和0.9206.
- 技术效率呈现下降趋势 (2017年为0.6889%,2019年为0.6238),主要是由于规模效率下降.
- 观察到显著的地理差异,东部地区在技术/纯技术效率方面领先,西部地区在规模效率方面领先.
结论:
- 中国的专业公共卫生设施尚未达到最佳效率,尤其是在纯技术效率方面.
- 效率的地理差异对可持续和平衡的公共卫生服务构成了挑战.
- 了解空间异质因素的关联是有针对性的干预措施的关键,以减少区域差异.
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