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陕西省脱贫县卫生资源利用效率评价研究

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目的 对陕西省脱贫县的卫生资源利用效率进行测算,为提升脱贫县卫生资源配置效率提供依据.方法 运用DEA模型对2019年陕西省11个脱贫县的截面数据进行横向分析,运用Malmquist指数模型对5年的面板数据进行动态分析.结果 6个县域的纯技术效率为最佳状态,占比超过半数,其中印台区的纯技术效率最低,为0.319;4个县域的规模效率为最佳状态,未超过半数,其中澄城县最低,为0.374.2015-2019年五年间,全要素生产率指数呈现上下起伏的波动趋势,陕西省卫生资源利用效率在时间线上整体呈现增长趋势,但增长不显著.结论 陕西省脱贫县域之间卫生资源利用效率差距较大;陕西省脱贫县卫生资源利用效率总体上升;造成效率低下的原因重点在于卫生产出不足.
Research on efficiency evaluation of health resources utilization in poverty relief counties from Shaanxi Province
Objective To measure the efficiency of health resources utilization in poverty relief counties in Shaanxi Province and provide measures for improving the efficiency.Methods DEA model was used to con-duct a horizontal analysis of the cross-sectional data of 11 poverty relief counties in Shaanxi Province from 2015 to 2019,and Malmquist index model was used to conduct a dynamic analysis of the panel data from 2015 to 2019.Results The Pech of 6 counties is the best state,accounting for more than half,and the Pech of Yintai District is the lowest;The Sech of the four counties is the best state,less than half,among which Chengcheng County is the lowest.During the five years from 2015 to 2019,the Tfpch showed a fluctuating trend of ups and downs,and the u-tilization efficiency of health resources in Shaanxi Province showed an overall growth trend in the timeline,but the growth was not significant.Conclusions There was a large gap in the efficiency of health resource utilisation a-mong Shaanxi Province counties.The efficiency of health resources utilization in poverty relief counties increased;The main reason for low efficiency is insufficient output.

Poverty relief countiesHealth resourcesEfficiency utilizationDEAMalmquist index

张丝雨、程文闻、杜雯玺、于晨、于菲

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空军军医大学军事预防医学系,陕西西安 710032

特殊作业环境危害评估与防治教育部重点实验室,陕西西安 710032

空军军医大学教学考评中心,陕西西安 710032

脱贫县 卫生资源 利用效率 数据包络分析 Mamquist指数

空军军医大学校级"快速响应"课题

2023KXKT070

2024

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(8)