2015—2021年河北省疾病预防控制机构资源配置效率分析

Analysis on resource allocation efficiency of disease prevention and control institutions in Hebei Province from 2015 to 2021

目的 分析河北省疾病预防控制机构(疾控机构)卫生资源配置效率的动态变化情况,为优化资源配置结构、促进河北省公共卫生事业发展提供参考依据。方法 收集2015—2021年河北省疾控机构的机构数、人员数、设备数和甲乙类传染病发病率、死亡率等数据,使用数据包络分析法(data envelopment analysis,DEA)分析疾控机构资源配置动态效率。结果 河北省疾控机构的全要素生产率变化年均下降1.9%,技术进步变化年均下降2.3%,技术效率变化年均上升0.9%。结论 11个设区市中5个市DEA有效,资源配置效率均衡性有待提升。应因地制宜的制定区域政策以提升各地区疾控机构资源利用技术水平,改善河北省各地区疾控机构资源配置效率,以满足公共卫生服务需要。

Objective To analyze the dynamic changes of health resource allocation efficiency in disease prevention and control institutions in Hebei Province,and provide reference for optimizing resource allocation structure and promoting the development of public health in Hebei Province.Method The data of the number of institutions,personnel,equipment,incidence rate and mortality of class A and B infectious diseases in disease prevention and control institutions in Hebei Province from 2015 to 2021 were collected,and the dynamic efficiency of resource allocation in disease prevention and control institutions was analyzed by data envelopment analysis(DEA).Results From 2015 to 2021,the change of total factor productivity of disease prevention and control institutions in Hebei Province decreased by 1.9% on average annually,the change of technological progress decreased by 2.3% on average annually,and the change of technological efficiency increased by 0.9% on average annually.Conclusion DEA is effective in 5 out of 11 districts cities,and the balance of resource allocation efficiency needs to be improved.Regional policies should be tailored to local conditions to enhance the technical level of resource utilization in disease prevention and control institutions in various regions,improve the efficiency of resource allocation in disease prevention and control institutions in Hebei Province,and to meet the needs of public health services.