医疗系统效率对居民健康的影响分析:基于面板分位数回归模型

Analysis on the Effect of Medical System Efficiency on Residents' Health:Based on Panel Quantile Regression Model

目的:分析我国各省市医疗系统效率,检验区域医疗系统效率对居民健康状况的影响。方法:采用DEA方法测算我国各省市医疗系统效率;采用面板分位数回归模型测算医疗系统效率提升的健康改善作用及变动趋势。结果:我国各省市卫生系统效率与居民健康状况均呈现东高西低的走势,区域失衡现象明显;医疗系统效率提升对居民健康存在改善作用,并且该作用随居民健康状况的提升而下降,在居民健康状况最好的区域,医疗效率提升对居民健康的改善效果已不显著。结论:应重点支持落后地区医疗系统建设,充分发挥医疗系统效率提升对居民健康的改善作用,促进我国医疗系统平衡发展。

Objective： Analyzing the efficiency of medical System in China and examining the impact of the imbalance of regional health system efficiency on the health status of residents. Methods： Using DEA method to measure the output efficiency of inter-pro- vincial medical system in China; employing the panel quantile regression model to measure the he.,dth improvement effect and chang- ing trend brought by the promotion of the efficiency of medical system. Results： The efficiency of health systems in different provinc- es in China showed the situation of high in the east and low in the west, regional imbalances were obvious; the impact of the promo- tion of efficiency of the medical system on the residents＇ health status would be weakened with improvement of residents＇ heahh status. In areas where the residents＇ health status was the best, the effect of improving the efficiency of medical treatment had no significant. Conclusion： h should give full play to improvement effect of medical system efficiency on the residents＇ health, focus on supporting the construction of medical systems in backward areas to promote the balanced development of China＇s regional medi- cal system.