Allocation efficiency and equity of township health center resources in China after hierarchical medical system reform
Objective To analyze the changes in the allocation efficiency and equity of township health center resources from 2015 to 2020 during which the hierarchical medical system are carried out,and to provide basis for improving the rationality of health resource allocation and rural primary medical service efficiency.Meth-ods The three-stage DEA model and Malmquist index were used for the static analysis and dynamic analysis of input and output efficiencies of township health centers during 2015 and 2020,and the concentration index was used to analyze the fairness of resource allocation.Results The average comprehensive efficiency of township health center resources in China was 0.836,suggesting an overall good operation but the efficiency was declined year by year.The resource allocation efficiency showed a certain degree of regional reverse,with the average com-prehensive efficiency of the central and western regions higher than that of the eastern region.The proportion of people over 65 had a negative impact on the efficiency of health resource allocation,while per capita GDP and gov-ernment health expenditure had a positive impact.The Malmquist index suggested that the total factor productivity efficiency of health resource allocation in township health centers showed a fluctuating downward trend,with lack of technological progress as the main reason.More health resources were inclined to be allocated to provinces and cities with low economic level year by year.Conclusion Government should deploy health resources rationally based upon local conditions,strengthen the development of rural medical personnel team,promote the standardiza-tion construction of township health centers,improve medical service capacity,and guide residents to be diagnosed and treated at the grassroots health institutions.Furthermore,it's recommended to optimize elderly-oriented medi-cal service and develop health care service for the elderly.
Three-stage DEAConcentration indexResource allocation efficiencyFairnessTownship health center
国家科技期刊平台
NSTL
万方数据
