山西省中医药卫生资源配置分析及效率评价

Analysis and Efficiency Evaluation of Traditional Chinese Medicine Health Resources Allocation in Shanxi Province

目的:研究山西省2009—2021年的中医药卫生资源配置状况,对山西省中医药卫生资源的运行效率进行纵向评价,讨论相关成因,并提出改善建议。方法:采用基尼系数法对山西省中医药卫生资源按人口配置进行数据统计,绘制洛伦兹曲线分析资源配置的公平性,并采用数据包络法中的BCC模型对资源的投入—产出效率展开评价。结果:山西省中医药卫生资源按人口的配置数量在2014年最为短缺,总体呈现先下降后上升的趋势;运行效率的数据输出显示,山西省中医药卫生资源配置在2013年、2015年、2017—2019年、2021年的DEA有效,在2009—2012年、2014年的弱DEA有效,在2016年、2020年的非DEA有效。结论:山西省已投入的中医药卫生资源匹配不尽合理,资源利用不够充分,运行的技术效率、规模效率均有待提高,卫生资源冗余与规模报酬“递增”现象并存。

Objective:To study the allocation status of traditional Chinese medicine health resources in Shanxi Province from2009 to 2021,conduct a vertical evaluation of the operation efficiency of traditional Chinese medicine health resources in Shanxi Province,discuss the related causes,and propose improvement method.Methods:The Gini coefficient method was used to make statistical data of traditional Chinese medicine health resources in Shanxi Province according to population allocation,Lorentz curve was drawn to analyze the equity of resource allocation,and BCC model was used to evaluate the input-output efficiency of resources.Results:The allocation of TCM health resources per population in Shanxi Province was the shortest in 2014,showing a trend of first decreasing and then increasing.The data output of operation efficiency showed that the allocation of TCM health resources in Shanxi Province was DEA effective in 2013,2015,2017-2019 and 2021,weak in 2009-2012 and 2014,and non-DEA effective in 2016and 2020.Conclusion:The health resources of traditional Chinese medicine invested in Shanxi are not reasonably matched,the utilization of resources is not sufficient,the technical efficiency and scale efficiency of operation need to be improved.The redundancy of health resources and the“increasing return to scale”phenomenon coexist.