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基于国际间比较的我国健康生产效率分析 被引量:3

Analysis on China's Health Production Efficiency Based on International Comparison
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摘要 目的:通过国际间比较反映我国卫生体系的投入产出水平,获得近年来我国卫生体系的健康生产效率绩效及其变化趋势,并提供促进健康生产效率的政策建议。方法:通过描述我国卫生投入和健康产出的国际排名及其变化趋势反映卫生体系的相对效率水平,并以人均卫生总费用作为投入指标、健康结局作为产出指标,使用数据包络分析和健康生产函数法构建前沿健康生产函数、中国的健康生产函数与边际健康生产函数。结果:近年来我国卫生体系的健康生产效率水平与相似卫生发展水平并处于生产前沿上的国家在65%~73%之间;随着卫生投入的增加,我国边际健康产出水平有所下降并不断趋于平缓。结论:我国当前的健康生产效率在国际上相对较高,但在卫生总费用快速增长的背景下,如何提高边际健康产出、提高卫生体系的健康生产效率是未来医药卫生体制改革的重点。 Objective: To obtain the health production efficiency performance and its changing trend of China's health system in recent years by adopting international comparison, and to provide policy recommendations to improve health production efficiency. Methods: It described the relative efficiency of health system in China by reporting the international ranking of health inputs and out- puts indicators. It employed total health expenditure per capita as input indicator and health outcomes as output indicalors to construct frontier health production function, China's health production function and marginal health production function based on data envelop- ment analysis and production function method. Results: In the past decade, compared to efficient countries with similar heahh devel- opment level, the efficiency performance of China' s health system was between 65% and 73%. With the increasing trend of health in- vestment, China's marginal health output had been declined and tended to be gentle. Conclusion: The current health production effi- ciency in China was relatively high. However, how to improve the efficiency and marginal health output was the focus of future health system reform under the background of rapid growth of total health expenditure.
出处 《中国卫生经济》 北大核心 2018年第2期58-61,共4页 Chinese Health Economics
关键词 健康投入与产出 健康生产效率 国际比较 health input and output health production efficiency international comparison
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