Objective To delineate the distribution of health resources in Yunnan province,assess the equity and efficiency of resource allocation and utilization,and offer recommendations on optimizing health resource allocation.Methods The equity of health resource allocation was gauged using the Lorentz curve,Gini coefficient,and health resources agglomeration degree,and the utilization efficiency was assessed using the three-stage data envelopment analysis(DEA)model and Malmquist index.Results The total amount of various health resources in Yunnan province continued to increase from 2017 to 2022.Health resources were fairly allocated according to population and economy but showed imbalance geographically.After the environmental variables and random interference were ruled out,the average comprehensive technical efficiency of medical and health resource allocation in Yunnan province was 0.971 in 2022,and the utilization of resources in 5 cities/prefectures was not DEA efficient.From 2017 to 2022,the total factor productivity was below 1 in the 13 cities/prefectures,mainly due to technological advances.Conclusion Health resources should be rationally allocated according to population,economy,and geography in different cities/prefectures in Yunnan province,which will help to strengthen technological innovations and regional collaboration in weak areas and gradually narrow the regional gaps,thus raising the efficiency of health resource utilization and meeting the diverse medical needs of residents.
关键词
基尼系数/三阶段DEA模型/公平性/利用效率/卫生资源
Key words
Gini coefficient/Three-stage DEA model/Equity/Utilization efficiency/Health resources