我国医疗卫生资源效率分析:基于两阶段的Malmquist-Tobit方法实证

Analysis on Chinese Medical and Health Resources Efficiency—based on two-stage Malmquist-Tobit Empirical Analysis

目的:探讨我国医疗卫生资源的效率水平及影响因素。方法:基于2003—2011年中国31个省份的面板数据,运用Malmquist-Tobit两阶段模型进行分析。结果:我国医疗卫生资源效率呈增长趋势,来源于技术效率改善与技术进步"双驱动",区域间存在一定差异,其效率值从高到低依次为东部,西部,中部。经济发展水平,人口密度,营利性医院占比,城市化水平与教育水平均会对我国医疗卫生资源效率产生不同程度促进作用。结论:提高我国医疗卫生资源效率,可以从促进经济发展水平,合理分配医疗卫生资源,有序推进城市化和教育水平等方面努力。

Objective： To analyze the efficiency and influencing factors of Chinese medical and health resources. Methods： Based on the panel data of 31 mainland provinces from 2003 to 2011 in China, use the two-stage Malmquist-Tobit model to analyze. Results： The efficiency of Chinese medical and health resources shows an increasing trend, which is dual driven by improvement of technical efficiency and technological progress. The efficiency varies among different areas, and the descending order of efficiency value is east, west and center. The level of economic development, population density, the proportion of profitable hospitals, the levels of urbanization and education can promote Chinese medical and health efficiency with different extent. Conclusion： To improve the efficiency of Chinese medical and health resources, it needs to promote economic development level, allocating health resources reasonably, and advancing urbanization and education levels orderly.