广东妇幼保健行业效率动态变化的Malmquist指数分析

An Empirical Analysis on Total Factor Productivity Change in Guangdong’s Maternal and Children Health Service: A Nonparametric Malmquist Index Approach

目的:探讨和评估妇幼保健行业的效率。方法:采用基于DEA的malmquist指数分析方法,以广东省21个地市妇幼保健机构为例,分析了其技术效率、规模经济、TFP等的变化趋势。结果:从2002年到2007年,全要素生产率平均增长了1.81%,技术效率增长了2.73%,技术变化下降了0.9%。生产率的增长主要是技术效率的提高导致的,而不是来自于技术变化。技术效率的增长主要体现在规模效率的增长上,而纯技术效率的增长甚微(0.58%)。结论:技术效率的变动表示管理方法的优劣与管理阶层决策的正确与否对效率的影响,这说明在考察期间的大多数年份各地市的管理和经营决策对全要素生产率的变化起到了积极的作用。

Objective： Explore and assess the efficiency of maternal and children health service business. Method： Through a nonparametric Malmquist index approach, this paper has analyzed total factor productivity change in Guangdong＇s maternal and children health service business with city panel data from 2002 to 2007, which is decomposed into technical efficiency and technical progress. Results： The average growth rate of Guangdong＇s maternal and children health service Business from 2002 to 2007 was 1.86% which is mainly due to the improvement of technical efficiency, but not technical progress. The technical efficiency is decomposed into pure technical efficiency and scale efficiency. The change of technical efficiency was mainly due to the improvement of the scale efficiency. The improvement of pure technical efficiency was only 0.58%. Conclusion： The change of total factor productivity was affected affirmatively by management and business strategic decision.