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宁夏乡镇卫生院资源投入产出效率评价研究

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目的:对2013—2022年宁夏乡镇卫生院运行效率和全要素生产率的动态变化进行分析,为进一步提高宁夏乡镇卫生院的运行效率提供决策依据.方法:以宁夏各县(市、区)为决策单元,采用数据包络分析法的BCC模型和Malmquist生产率指数模型分析宁夏各县(市、区)乡镇卫生院运行效率和全要素生产率.结果:(1)2013—2022年宁夏乡镇卫生院人员投入增加了45.80%,门诊人次数无明显增加,住院人数降低了45.40%.(2)宁夏乡镇卫生院投入产出的综合技术效率平均值为0.658,纯技术效率和规模效率的平均值分别为0.747和0.880.(3)7个县(市、区)全要素生产率指数均值大于1,其他15个县(市、区)均小于1.结论:宁夏乡镇卫生院长期运行效率低下,应提升各县(市、区)乡镇卫生院的资源配置与管理能力,加大政策支持力度对于提高乡镇卫生院运行效率意义重大.
The Evaluation and Research of the Resource Input-Output Efficiency in Township Health Centers of Ningxia
Objective:To analyze the operational efficiency and Total Factor Productivity (TFP) of township health centers in Ningxia from 2013 to 2022,in order to provide decision-making basis for optimize the resource allocation of township health centers in Ningxia. Methods:The BCC model of Data Envelopment Analysis (DEA) and Malmquist productivity index were used to analyze the operation efficiency and TFP of township health centers of Ningxia. Results:(1) From 2013 to 2022,the personnel input in Ningxia township health centers increased by 45.80%,the number of outpatient visits had no significant increase,and the number of inpatient visits decreased by 45.40%. (2) The average comprehensive technical efficiency of resource allocation was 0.658,the average of pure technical efficiency and scale efficiency were 0.747 and 0.880. (3) The average value of TFP index was greater than 1 in 7 counties,and less than 1 in the other 15 counties. Conclusion:The efficiency of township health centers in Ningxia was low. It is of great significance to improve the resource allocation and management ability of township health centers and strengthen the policy support for improving the operation efficiency of township health centers.

input and outputData Envolopment Analysis (DEA)township health centerNingxia

王婷、常高峰、张桂宏、陈鹏、杨静、李宁

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宁夏回族自治区卫生健康委员会信息中心 宁夏 银川 750000

宁夏回族自治区宁安医院 宁夏 银川 750000

投入产出 数据包络分析法 乡镇卫生院 宁夏

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(12)