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基于区域异质性:测量医院服务效率和分析空间效应

Qianwen Song¹, Anyu Ye², Mengting Zhou³

¹Chengdu Shuangliu District Maternal and Child Health Hospital, Chengdu, China.

Frontiers in public health

|April 18, 2025

概括

区域差异在中国显著影响医院服务效率. 解决技术和管理方面的差距,同时考虑空间溢出效应,是改善全国医疗服务的关键.

科学领域:

医疗保健管理的管理
医疗保健服务研究医疗服务研究
区域经济学区域经济学

背景情况:

医院服务效率是医疗保健系统绩效的关键指标.
忽视效率的区域差异可能会导致不准确的评估.
了解这些差异对于有效的医疗保健政策至关重要.

研究的目的:

通过Meta-Frontier Slack-Based Measure (SBM) 模型,评估中国各省的医院服务效率.
通过区域和共同的边界来比较效率,并分析技术差距.
研究医院服务效率的空间溢出效应.

主要方法:

用于效率评估的Meta-Frontier Slack-Based Measure (SBM) 模型. 效率评估的SBM模型是指一个基于SBM的模型.
分析区域和共同的边界,以确定差异.
空间德宾模型用于评估空间溢出效应.

主要成果:

中南中国的医院服务效率最高 (0.7549),东北地区的服务效率最低 (0.3571).
技术差异存在三层:中南;西南,西北,中国北部;东北.
管理效率低下在顶层显著,而管理和技术效率低下会影响下层. 观察到显著的积极空间溢出效应.

结论:

针对性地识别技术和管理缺陷对于提高医疗保健效率至关重要.
需要长期的战略规划,适应人口变化和医疗需求.
加强危机管理能力可确保服务的有效性和可持续性.

关键词:

医院服务效率,医院服务效率.跨越边境的SBM.地区差异地区差异空间达尔宾模型技术的异质性技术的异质性

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