医疗保健资源分配的公平性是否会影响利用效率? - - 一项基于中国省级小组数据的经验研究
1School of Artificial Intelligence and Information Technology, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
Frontiers in health services
|June 11, 2025
概括
中国医疗保健资源分配的公平性,特别是人员和资产,影响了效率. 资产的区域差异是一个关键的公平问题,同时也注意到了整体效率的提高.
科学领域:
- 医疗保健管理的管理
- 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:
- 医疗保健资源分配对于公平的健康结果至关重要.
- 了解资源分配中的公平性和效率之间的相互作用对于政策制定至关重要.
- 中国地区的巨大差异在医疗保健资源分配方面带来了独特的挑战.
研究的目的:
- 测量中国31个省和城市 (2014-2019) 的医疗保健资源分配的公平性和效率.
- 探索中国医疗保健资源分配中的公平性和效率之间的关系.
- 确定影响医疗保健资源分配效率的关键因素.
主要方法:
- 泰尔指数用于衡量公平性.
- 数据包裹分析 (DEA),包括BCC和马尔姆奎斯特模型,用于静态和动态效率评估.
- 托比特模型用于分析影响因素.
主要成果:
- 区域差异,特别是总资产差异,是医疗保健资源分配不公平的主要驱动因素.
- 从2014年到2019年,医疗保健资源分配的整体效率有所提高,低技术水平是一个显著的限制.
- 人口密度,城市化,床位,资产以及人员和资产分配的公平性显著影响效率.
结论:
- 医疗保健资源分配的公平性对服务利用效率产生了积极的影响,人事分配的公平性产生了最大的影响.
- 医疗保健总资产分配的公平性可能会对利用效率产生负面影响.
- 基于这些发现,建议优化医疗保健资源分配策略.
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