[1]刘玉莲,许才明,孟雪晖.中医医疗资源配置效率及空间自相关分析[J].卫生经济研究,2022,39(10):35-39.
 LIU Yulian,XU Caiming,MENG Xuehui.Allocation Efficiency and Spatial Auto-Correlation Analysis of Traditional Chinese Medicine Resources[J].Journal Press of Health Economics Research,2022,39(10):35-39.
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中医医疗资源配置效率及空间自相关分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年10期
页码:
35-39
栏目:
卫生资源
出版日期:
2022-09-26

文章信息/Info

Title:
Allocation Efficiency and Spatial Auto-Correlation Analysis of Traditional Chinese Medicine Resources
作者:
刘玉莲12许才明1孟雪晖1
1.浙江中医药大学人文与管理学院,浙江 杭州 310000
2.浙江中医药大学附属宁波中医院,浙江 宁波 315010
Author(s):
LIU Yulian XU Caiming MENG Xuehui
School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou Zhejiang 310000, China
关键词:
资源配置效率三阶段DEA 空间自相关分析中医医疗资源
Keywords:
allocation efficiency three-stage DEA spatial auto-correlation Traditional Chinese Medicine resources
分类号:
R19
文献标志码:
A
摘要:
目的:分析我国中医医疗资源配置效率和空间集聚特征,为优化中医医疗资源配置提供科学参考。方法:运用三阶段数据包络分析(DEA)模型测算2019年我国31个省(区、市)中医医疗资源的配置效率,采用全局莫兰指数、局域莫兰指数和Getis-Ord G*指数分析其空间自相关性。结果:我国中医医疗资源配置效率总体不高,综合效率平均值0.817,且区域之间发展不均衡,综合效率中部最高、西部次之、东部最低;中医医疗资源配置效率受外部环境和管理噪声的影响较大,各项投入要素的冗余现象普遍存在;中医医疗资源配置效率呈现空间集聚特征。结论:中医医疗资源配置要“质”“量”兼顾、重点突出,实现区域均衡发展;依托经济、社会、人口及政策环境因素,消解中医医疗资源投入冗余;打破省域分割,构建中医医疗资源空间新格局。
Abstract:
Abstract: Objective To explore the allocation efficiency and spatial auto-correlation characteristics of traditional Chinese medicine (TCM) resources, so as to provide scientific reference for optimizing the allocation of TCM resources. Methods This article measured the allocation efficiency of TCM resources in 31 provinces of China in 2019. The three-stage DEA model was used to calculate and analyze the allocation efficiency of TCM medical resources. In addition, the global Moran index, local Moran index and Getis-Ord G* index were used to analyze the spatial auto-correlation. Results The overall efficiency of TCM resources allocation efficiency was not high, with an average comprehensive efficiency of 0.817. An uneven development trend was found in different regions, with middle regions presented the highest comprehensive efficiency, followed by the west and the east regions. The allocation efficiency of TCM resources was greatly affected by the external environment and management noise, and the redundancy of various input factors was common. The allocation efficiency of TCM resources in China presented the characteristics of spatial agglomeration. Conclusion The allocation of medical resources of TCM should give consideration to both "quality" and "quantity". And it is necessary to highlight key points, while realize regional balanced development. Relying on economic, social, demographic and policy environmental factors, it is suggested to eliminate the redundant investment of TCM resources. We also recommended to break the provincial division and build a new spatial pattern of TCM resources.

参考文献/References:

[1] 甘明玉,张翔.基于DEA和SFA方法的我国中医类医疗机构卫生资源配置效率评价研究[J].中国卫生事业管理,2021,38(9):676-679,712.
[2] 续晓方,李文瑾,唐立岷,等.我国卫生资源配置效率研究——基于三阶段DEA模型[J].卫生经济研究,2021,38(6):23-27.
[3] Jiang N,Andrews A.Efficiency of new zealand’s district health boards at providing hospital services:astochastic frontier analysis[J].Journal of Productivity Analysis,2020,53(1):53-68.
[4] Dong S P,Zuo Y L,Guo S Y,et al.Data envelopment analysis for relative efficiency measurement of Chinese hospitals:a systematic review[J].Research in Health Science,2017,2(2):79-103.
[5] 成刚,钱振华.卫生体系效率评价的概念框架与测量方法——兼论应用数据包络分析的方法学问题[J].中国卫生政策研究,2012,5(3):52-60.
[6] Charnes A,Cooper W,Rhodes E.Measuring the efficiency of decision making units[J].European Journal of Operational Research,1978,2(6):429 - 444.
[7] Bowlin W F,Charnes A,Cooper W W,et al.Data envelopment analysis and regression approaches to efficiency estimation and evaluation[J].Annals of Operations Research,1984,2(1):113-138.
[8] Fried H O,Lovellcak, Schmidt S S,et al.Accounting for environmental effects and statistical noise in data envelopment analysis[J].J Product Anal,2002,17(1-2):157-174.
[9] Jong P D,Sprenger C,Veen F V.On extreme values of Moran's I and Gaeary's C[J].Geographical Analysis,2010,16(1):17-24.
[10] Anselin L.Local indicators of spatial association—ISA[J].Geographical Analysis, 2010, 27(2):93-115.
[11] 许文静.我国卫生资源配置效率的省际差异及空间溢出效应[J].科技视界,2019,29:124-126.
[12] 路杰,殷利霞,蒲旭虹,等.甘肃省卫生资源空间集聚特征及配置公平性的综合评价分析[J].中国卫生统计,2019,36(2):222-225.
[13] 韩兆柱,翟文康.西方公共治理前沿理论述评[J].甘肃行政学院学报,2016(4):23-39,126-127.

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更新日期/Last Update: 2022-09-26