中国医改前后基层医疗机构服务效率变动分析

Analysis on the change of service efficiency of primary medical institutions before and after medical reform in China

运用Malmquist生产率指数模型和受限因变量Tobit回归模型,测算我国医改前后基层医疗机构服务效率及其主要影响因素的变化。结果显示:医改后,基层医疗机构技术进步的改善使全要素效率有明显提升,且东部地区上升最大,这主要依托于东部地区发达的经济水平;从影响因素来看,政府卫生投入和人力资源投入是医改后影响机构效率的主要因素。针对得出的结论,提出合理化建议。

The change of tje service efficient.y of primary medical institutions anti its main influencing factors betore and after the medical reform in China were calculated using Malmquist productivity index model and restricted dependent variable Tobit regression model. The resuh showed that atier the medical reform, the improvement of the technology of the primeD medical institutions makes the total factor efficiency obviously improve and the eastern part rises the most, which mainly depends on the developed economic＇ level in the east. From the point of the intluencing faetors, government heahh investment and human resource investment are the main factors that affect the efficiency of the organization al- ter the medical reform.