摘要
目的测算我国中医医院服务效率水平,分析不同地区中医医院服务效率差异及影响因素,为优化中医药资源配置提供参考。方法采用超效率SBM模型测算2012年-2021年我国中医医院服务效率,运用Dagum基尼系数分析我国中医医院服务效率地区差异,借助空间杜宾模型探究其影响因素及溢出效应。结果2012年-2021年我国中医医院服务效率均值为0.907,东部、中部、西部及东北地区中医医院服务效率均值分别为0.955、0.886、0.947、0.669。中部地区中医医院服务效率基尼系数均值最大,为0.159;西部地区中医医院服务效率基尼系数均值最小,为0.107。中部地区与东北地区中医医院之间服务效率的差异最大。超变密度是我国中医医院服务效率总体差异的主要来源。空间自相关系数显著为负,人均受教育水平和人均地区生产总值的直接效应系数显著为正,城镇率和人口密度的溢出效应系数显著为负,床护比的直接效应系数和溢出效应系数均显著。结论我国中医医院服务效率有待进一步提升,应重点关注东北地区中医医院服务效率。不同地区间存在的交叉重叠问题是导致我国中医医院服务效率存在差异的关键因素。我国中医医院服务效率受人均受教育水平、人均地区生产总值、城镇率、人口密度、床护比等多种因素影响。
Objective To estimate the service efficiency level of traditional Chinese medicine(TCM)hospitals in China,analyze regional differences and influencing factors,and provide a reference for optimizing the allocation of TCM resources.Methods The super-efficiency SBM model was used to estimate the service efficiency of TCM hospitals from 2012 to 2021,the Dagum Gini coefficient was used to analyze the regional differences in service efficiency of TCM hospitals,and the influencing factors and spillover effects were explored with the help of the spatial Durbin model.Results The average annual service efficiency of TCM hospitals from 2012 to 2021 was 0.907,with the eastern,central,westward,and northeast having respective averages of 0.955,0.886,0.947,and 0.669.The service efficiency of TCM hospitals in the central region was the biggest of 0.159,while the average annual Gini coefficient of service efficiency of TCM hospitals in the western region was the smallest of 0.107.The difference of service efficiency of TCM hospitals was the biggest between central region and northeast region.Supervariable density was the main source of the overall difference of service efficiency in TCM hospitals.The spatial autocorrelation coefficient was significantly negative,the direct effect coefficient of per capita education level and per capita GDP was significantly positive,the spillover effect coefficient of urban ratio and population density was significantly negative,and the direct effect coefficient and spillover effect coefficient of bed-to-cover ratio were significant.Conclusion The development of TCM hospitals in China has room for optimization,and TCM hospitals in the northeast region should be the focus of attention and support in the next stage.The overlapping problem between different regions was the key factor that leads to the gap of service efficiency in TCM hospitals.The service efficiency of TCM hospitals in China is affected by many factors,such as per capita education level,per capita GDP,urban rate,population density a
作者
朱欣叶
阮智慧
卓扬凯
时孝春
钱爱兵
ZHU Xinye;RUAN Zhihui;ZHUO Yangkai(School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210023,China;不详)
出处
《中国卫生质量管理》
2024年第5期17-21,28,共6页
Chinese Health Quality Management
基金
国家中医药管理局课题(编号:ZYJGC-YSCW202010)。
关键词
中医医院
服务效率
地区差异
影响因素
Chinese Medicine Hospitals
Service Efficiency
Regional Difference
Influencing Factor
