基于HRAD和DEA的江苏省卫生资源配置的公平与效率分析

Equity and Efficiency Analysis of Health Resources Allocation in Jiangsu Province Based on HRAD and DEA

目的:对2010~2016年江苏省的卫生资源配置状况进行分析。方法:运用集聚度(HRAD)方法评价江苏省卫生资源的配置公平性,并用数据包络分析(DEA)的规模收益可变模型(VRS)研究江苏省各地级市的卫生资源配置效率。结果:江苏省按人口数配置的卫生资源公平性优于按地理规模配置的公平性,苏南地区各地级市集聚的卫生机构数较人口数配置不足,苏中、苏北地区的卫生人力资源配置公平性相对较差。2016年江苏省卫生资源配置的综合技术效率值为0. 835,总体为弱有效,13个地级市中只有5个市的卫生资源配置效率相对有效。结论:应减小地区差异,提升卫生资源的集聚效应和配置效率。

Objective This paper analyzes the distribution of regional health resources in Jiangsu province from 2010 to 2016. Methods To assess the allocation fairness of health resources in Jiangsu province by using the method of agglomeration （HRAD） and study the distribution efficiency of health resources in all cities of Jiangsu province with the scale- yield variable model （VRS） of data envelopment analysis （DEA）. Results The fairness of allocation of health resources by population in Jiangsu province is superior to the fairness by geographical distribution. The number of health institutions in cities in southern Jiangsu gathered less than the population allocation. The distribution of health human resources in central Jiangsu, and northern Jiangsu is relatively poor. In 2016, the comprehensive technical efficiency of health resource allocation in Jiangsu province was 0. 835. Only 5 of 13 cities were relatively efficient in allocating health resources. Conclusions Jiangsu province should reduce regional differences and enhance the clustering effect and allocation efficiency of health resources.