Operational efficiency and spatial autocorrelation analysis of medical and health service system in Xinjiang during the 13th Five-Year plan period
Objective By studying the operating efficiency of Xinjiang's medical and health service system,the problems existing in the allocation of medical resources,differences between regions and states and their causes are analyzed to provide decision-making basis for the establishment of a high-quality and efficient operating mechanism of the medical and health service system.Methods The data in this study are derived from the Statistical Yearbook of Xinjiang from 2017-2021 and the Annual Report of Health Statistics of Xin-jiang from 2016-2020.The research object is the medical and health service system(including grassroots medical and health institu-tions,hospitals,and professional public health institutions).Based on previous literature research and the availability of data,input and output indicators are determined,and GDP per capita,year-end population,and government health expenditure are selected as en-vironmental variables.Through a three stage DEA model,The method of excluding environmental factors and random errors analyzes the operational efficiency of Xinjiang's medical and health service system during the 13th Five Year Plan period from a static perspec-tive;Dagum Gini coefficient and Moran index were used to analyze the efficiency value and explore whether there was spatial depend-ence.Results The DEA model shows that,without considering the impact of environmental factors and random errors,the overall effi-ciency of the medical and health service system in Xinjiang during the 13th Five Year Plan period is relatively good,with an average comprehensive efficiency of 0.919;The SFA regression results showed that the increase in government health expenditure can improve the efficiency of the medical and health service system(P<0.01);Excluding the impact of environmental factors and random interfer-ence,the average comprehensive efficiency of the medical service system in Xinjiang is 0.893,mostly in an increasing or constant state of scale.The annual contribution rates of intra regional differences,inter regional differences,and hypervariable density to regional differences are 36.05%,33.32%,and 30.63%,respectively.The results of the Moran index show that the operational efficiency of the medical service system in Xinjiang only has a spatial correlation between 2016 and 2019(P= 0.096,P= 0.040).Conclusions During the 13th Five Year Plan period,the operational efficiency of the medical and health service system in Xinjiang was in a fluctua-ting state.Compared to pure technical efficiency,Bortala Mongolian Autonomous prefecture and Kizilsu Kirgiz Autonomous Prefecture urgently need to improve their scale and structure.Among environmental factors,government health expenditure has a greater impact on efficiency,and the government can appropriately increase health investment.There is a significant difference in efficiency between different regions and states,and there are significant differences between territories,indicating that each region needs to address the is-sue of insufficient efficiency in a targeted manner.
medical health service systemoperational efficiencyDEA
NETL
NSTL
万方数据
