新疆卫生资源配置效率评价及影响因素分析

Evaluation of the efficiency of health resource allocation and analysis of influencing factors in Xinjiang

目的了解新疆卫生资源地域差异和趋势,为新疆各地区卫生资源合理配置提供依据。方法利用数据包络分析(data envelopment analysis,DEA)2018—2020年新疆各地州卫生资源效率性,运用受限tobit回归模型探讨DEA综合效率的影响因素。结果有5个地区在3年间均达到了DEA强有效,而昌吉回族自治州和伊犁哈萨克自治州的医疗卫生机构综合效率值<0.8,其余7个地区综合效率值均>0.9;在东疆和北疆地区,城镇化水平和人口密度对医疗资源配置起到正向作用,对南疆地区人口自然增长率也起到正向作用。结论2018—2020年新疆昌吉回族自治州和伊犁哈萨克自治州医疗资源配置效率相对较低,城镇化率和人口密度是影响卫生资源配置效率的主要因素。

Objective To understand the regional differences and trends of health resources in Xinjiang,and provide reference for rational planning of health resources in various regions of Xinjiang.Methods The data envelopment analysis DEA model was used to analyze the efficiency of health resources in various regions of Xinjiang from 2018 to 2020,and the tobit regression model was used to explore the factors influencing the comprehensive efficiency of DEA.Results Five regions reached the strong effectiveness of DEA within 3 years,while the comprehensive efficiency values of medical and health institutions in Changji Hui Autonomous Prefecture and Ili Kazakh Autonomous Prefecture was lower than O.8,and the comprehensive efficiency values of the remaining 7 regions were all greater than O.9.Urbanization and population density in eastern Xinjiang and northern Xinjiang had a positive impact on the allocation of medical resources,and also had a positive effect on the natural population growth in southern Xinjang.Conclusion From 2018 to 2020,the efficiency of medical and health resource allocation in Changji Hui Autonomous Prefecture and Ili Kazakh Autonomous Prefecture in Xinjiang was relatively low,with proportion of urban population(PUP)and population density(PD)are the main factors affecting the efficiency of health resource allocation.