摘要
近年来中国城乡卫生经济系统投入产出的生产率水平总体呈上升趋势,但增长绩效却是不平衡的,中国农村卫生经济系统投入产出的生产率增长速度远远高于城市,无论农村还是城市的卫生经济系统生产率提高全部由技术进步因素所致,而配置效率则呈现整体无效状态,这种配置无效是由管理效率和规模效率下降所致。从管理效率变化看农村地区管理无效程度高于城市地区;和城市地区相比农村地区规模效率下降的主要原因来自于卫生经济资源投入相对不足,这种不足包括投入总量不足和投入结构的失衡。由于农村地区现有的低水平卫生从业人员与其医疗设施不匹配所导致的结构失衡可能是目前亟待解决的问题。
The input-output productivity index of China's urban and rural health economy system presents a trend of rising,but the growth efficiency is imbalanced.Firstly,the rural areas have far greater productivity growth speed than urban ones.Secondly,the productivity improvements of both rural and urban systems come from technical progress,while both systems suffer from allocation inefficiency.The allocation inefficiency results from the decline of management and scale efficiency.Rural areas exhibit higher extent of management inefficiency than urban ones.Compared to urban areas,the drop of scale efficiency in rural areas is mainly due to insufficient input,including insufficient total input and structural imbalance.There is a fact that the low-level medical staff can not match the equipment,the structural imbalance results from it may be the most urgent problem to be solved.
出处
《农业经济问题》
CSSCI
北大核心
2010年第2期44-51,共8页
Issues in Agricultural Economy
基金
教育部人文社会科学研究项目(编号:08JC790045)
中国博士后科学基金特别资助项目(编号:200902493)
中国博士后科学基金面上项目(编号:20080441003)
吉林大学基本科研业务费交叉学科项目"中国城乡公共卫生资源配置效率问题研究"资助
