摘要
基于2003～2009年中国31个省份的面板数据,利用Malmquist-Tobit两阶段法评估了中国医疗卫生体系生产效率的动态变化及其决定因素。研究发现,2003～2009年间中国医疗卫生体系的质量调整Malmquist生产效率指数呈下降趋势,不同地区、省份之间的生产效率增长存在较大差异,导致差异出现的主要决定因素是营利性医院的比例、平均住院费用、病床周转次数和平均住院日。
Using the panel data among Chinese 31 provinces from 2003 to 2009,this paper evaluates the dynamic change in the productive efficiency of China＇s health care system and its determinants by Malmquist-Tobit two stage method.Different from the existing studies,this paper,first includes the quality proxy into the Malmquist index,thus forming the quality adjusted Malmquist index and second,use the panel Tobit model to examine its determinants.The findings are： quality-adjusted Malmquist index is declining from 2003 to 2009.There is sharp difference among different regions and provinces.The determinants of Malmquist index includes ratio of for-profit in a province,average inpatient fee,hospital bed circulation rate and average length of stay.The policy implications are： in order to increase the productive efficiency of Chinese health care system,we must pay attention to the provinces with low efficiencies and optimize the governance of hospitals.
出处
《山西财经大学学报》
CSSCI
北大核心
2012年第3期63-70,共8页
Journal of Shanxi University of Finance and Economics
基金
教育部人文社会科学研究青年基金项目"公立医院绩效评估研究--基于湖北省的实证分析"(10YJC630316)
2009年校级引进人才科研项目(31140911002)
