基于序列型两阶段DEA模型的中国政府卫生支出效率分析

Analysis on the Efficiency of Government Health Expenditure in China Based on Sequential Two-stage DEA Model

目的:对中国政府卫生支出效率进行比较分析,为进一步促进政府卫生支出的效率和公平提供参考依据。方法:利用序列型两阶段DEA模型,分析2000-2018年我国31个省份的政府卫生支出效率。结果:2000-2018年全国卫生资源改善效率上升了0.0151,经济社会效益产生效率上升了0.081,政府卫生支出效率下降了0.1218;地区间3大效率平均值分别为0.7839、0.9135、0.4304;东部的卫生资源改善效率和经济社会效益产生效率最高,分别为0.7957和0.9500,但其政府卫生支出效率只有0.3910,远低于中部和西部。结论:我国政府卫生支出效率不高但正在逐步提升,地区与区域间存在差距,政府应根据各省份效率状况不断完善财政投入模式。

Objective:To make a comparative analysis of the efficiency of government health expenditure in China,so as to provide references for further promoting the efficiency and equity of government health expenditure.Methods:Using the sequential two-stage DEA model,the efficiency of government health expenditure in 31 provinces in China from 2000 to 2018 was analyzed.Results:From 2000 to 2018,the efficiency of improving health resources increased by 0.0151,the efficiency of producing economic and social benefits increased by 0.081,and the efficiency of government health expenditure decreased by 0.1218.The average of the three major efficiencies between provinces was 0.7839,0.9135 and 0.4304 respectively.The efficiency of improving health resources and producing economic and social benefits in the east regions was the highest,which was 0.7957 and 0.9500 respectively,but the efficiency of government health expenditure was only 0.3910,which was far lower than that in the central and western regions.Conclusion:The efficiency of government health expenditure in China is not high,but it is improving gradually.There are gaps between provinces and regions,and the government should improve the financial input mode according to the efficiency of each province.