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内蒙古自治区基层医疗卫生资源配置现状及效率分析

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原文链接
  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 通过对内蒙古自治区各盟市基层医疗卫生资源配置效率的分析,探讨基层医疗卫生资源配置的合理性.方法 通过文献分析法,对现有文献进行综合分析和借鉴,并结合可获得的数据,从2016-2020年的《内蒙古卫生健康统计年鉴》中选择诊疗人次和入院人数作为产出指标,以及床位数、机构数和卫生技术人员数作为投入指标,构建内蒙古自治区基层医疗卫生机构资源配置效率评价指标体系.随后运用DEA方法中的BCC模型对资源配置效率进行静态分析.结果 综合效率值整体下降.各年份的纯技术效率均值介于0.791至0.911之间,总体技术效率不高.同时,规模效率均值未能达到最优生产规模,各年份处于规模报酬不变状态的盟市数量呈下降趋势.结论 内蒙古12个盟市的资源配置效率差异较大,要有针对性加大投入和政策支持力度,以紧密型医联体或医共体快速弥补现有基层医疗卫生机构管理、运行和技术等不足,多措并举缩小各盟市间基层医疗卫生机构资源配置效率间的差距.
The status quo and efficiency of grassroots health resource allocation in Inner Mongolia Autonomous Region
Objective To explore the rationality of grassroots health resource allocation by analyzing the efficiency of grassroots health resource allocation in various cities or leagues of Inner Mongolia Autonomous Re-gion.Methods Literature analysis was made of the existing literature,and the number of diagnosis and treatment visits and hospital admissions were selected as output indicators,and the number of beds,institutions,and health technical personnel as input indicators from The Inner Mongolia Health Statistical Yearbook from 2016 to 2020.On the basis of the available data,we established an evaluation index system for resource allocation efficiency of grass-roots health institutions in Inner Mongolia Autonomous Region.Subsequently,a static analysis of resource alloca-tion efficiency was conducted using the BCC model in the DEA method.Results The overall efficiency value showed a downward trend.The average pure technical efficiency of each year ranged from 0.791 to 0.911,indica-ting an overall state of technical inefficiency.Meanwhile,the average value of scale efficiency also failed to a-chieve the optimal production scale,and the number of cities or leagues with constant returns to scale in each year showed a downward trend.Conclusions There are significant differences in resource allocation efficiency among the 12 cities or leagues in Inner Mongolia Autonomous Region.Targeted efforts should be made to increase invest-ment and policy support,rapidly address the deficiencies in the management,operation,and technology of existing primary healthcare institutions through compact medical consortia or medical communities,and take multiple meas-ures to narrow the gap in resource allocation efficiency among cities or leagues in grassroots healthcare institutions.

Inner Mongolia Autonomous RegionGrassroots health care resourcesConfiguration efficien-cyData envelopment analysisBCC modelCountermeasure

胡春纪、那林格、刘奇麟

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内蒙古医科大学卫生管理学院,内蒙古呼和浩特 010110

内蒙古医科大学,内蒙古呼和浩特 010110

内蒙古 基层医疗卫生资源 配置效率 数据包络分析 BCC模型 对策

内蒙古自治区自然科学基金项目内蒙古自治区高等学校科学研究项目内蒙古健康政策研究会科研项目2023年度内蒙古医科大学校级面上项目

2021MS07027NJSY21587HP2021004YKD2023MS070

2024

10.19955/j.cnki.1005-5916.2024.02.009

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子：0.744
ISSN：1005-5916
年,卷(期)：2024.44(2)
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