“十三五”期间我国中医院资源配置效率及影响因素

The resource allocation efficiency and influencing factors of TCM hospitals in China during the 13th Five-Year Plan period

依据2016—2020年《中国卫生健康统计年鉴》和《中国统计年鉴》数据,构建BCC模型测算5年间我国中医院资源配置效率均值,运用面板数据的Tobit模型,对提出的假设进行验证并发现影响效率的因素,探究我国30个省份“十三五”期间中医院资源配置效率及影响因素。结果显示,“十三五”期间,30个省份中医院资源配置处于数据包络法(DEA)有效的4个,弱有效的6个,无效的20个。医师配置密度和医护管理人员比分别对中医院资源配置的综合效率产生显著负向和正向影响;空间分布密度和中西医竞争水平分别对中医院资源配置的规模效率产生显著负向和正向影响“。十三五”期间我国大多数省份中医院资源配置效率还有待提升,应统筹配置现有资源,提高医疗技术水平;合理设置人员结构,建立柔性激励机制;坚持中西医并重,突出中医药特色。

To explore the resource allocation efficiency and its influencing factors of traditional Chinese medicine hospitals in 30 provinces during the 13th Five-Year Plan period,the BCC model was established to calculate the average value of resource allocation efficiency of TCM hospitals in China during the past 5 years,based on the data of China Health Statistical Yearbook and China Statistical Yearbook from 2016 to 2020,using Tobit model of panel data to verify the proposed hypothesis and discover the factors affecting efficiency. During the13th Five-Year Plan period,the resource allocation of TCM hospitals in 30 provinces was DEA effective in 4, weak effective in 6,and ineffective in 20. The doctor allocation density and the ratio of medical and nursing administrators have significant negative and positive effects on the overall efficiency of resource allocation in TCM hospitals. The spatial distribution density and competition between TCM and Western medicine have significant negative and positive effects on the scale efficiency of resource allocation in TCM hospitals,respectively. During the 13th Five-Year Plan period,the resource allocation efficiency of TCM hospitals in most provinces of China still needs to be improved. The existing resources should be allocated as a whole,the level of medical technology should be raised,and the personnel structure should be set up reasonably. We should establish a flexible incentive mechanism,attach equal importance to both Chinese and Western medicine,and give prominence to the characteristics of Chinese medicine.