文献类型：期刊文献

中文题名：基于DEA-GIS方法的甘肃省基层卫生资源配置效率及公平性分析

英文题名：Analysis on the efficiency and equity of health resources allocation in Gansu Province based on DEA-GIS method

作者：王春燕[1];张勰[2]

第一作者：王春燕

机构：[1]甘肃中医药大学公共卫生学院,甘肃兰州730000;[2]甘肃中医药大学经贸与管理学院

第一机构：甘肃中医药大学公共卫生学院

年份：2023

卷号：24

期号：11

起止页码：1179

中文期刊名：中国预防医学杂志

外文期刊名：Chinese Preventive Medicine

收录：CSTPCD;;北大核心:【北大核心2020】；CSCD:【CSCD_E2023_2024】；

基金：甘肃省人文社会科学项目(212245)。

语种：中文

中文关键词：基层医疗;地理信息系统;数据包络分析;卫生资源;效率;公平性

外文关键词：Primary health care institution;Geographic information systems;Data envelopment analysis;Allocation of health resources;Efficiency;Fairness

摘要：目的 分析2019年甘肃省基层医疗机构卫生资源配置效率及公平性,为优化和改善甘肃省基层医疗卫生机构资源配置效率提供参考。方法 以甘肃省基层医疗机构为研究对象,运用于数据包络分析(data envelopment analysis,DEA)模型评估基层卫生资源配置效率,利用地理信息系统(geographic information systems,GIS)技术将基层卫生资源配置情况进行空间制图,分析其公平性。结果 2019年甘肃省基层卫生资源有7个地区达到DEA有效,3个地区弱有效,4个地区无效,DEA无效地区均存在不同程度的投入过剩或产出不足的问题。此外,基层医疗卫生资源集中分布在陇中、陇东地区,河西地区次之,酒泉市、甘南州资源配置集聚度最低。结论 甘肃省基层医疗卫生资源配置规模效率较高,但技术效率低下,基层医疗卫生资源地域分布不均衡,呈现“南高北低、东高西低”格局;建议多措并举提高医疗技术水平,充分发挥“辐射”效应,逐步缩小地域间差异,更好地满足基层群众多样化就医需求。
Objective To analyze the allocation efficiency and equity of health resources in primary health care institutions in Gansu Province in 2019,and to provide reference for optimizing and improving the allocation efficiency of health resources in primary health care institutions in Gansu Povince.Methods The allocation efficiency of health resources in primary health care institutions in 14 cities of Gansu province was evaluated by using data envelopment analysis(DEA)model,GIS technology was used to draw spatial mapping of primary health resources allocation,and to analyze the equity of the allocation.Results Based on the input and output of health resources in 14 cites of Gansu Province in 2019,DEAP 2.1 software analysis showed that the allocations of health resources were DEA effective in 7 cities,weakly effective in 3 cities and ineffective in 4 cities.There were problems of over-input or under-output in health resource allocations in 4 cities with ineffective DEA.In addition,the health resources in primary health care institutions were the richest in central Gansu and Eastern Gansu,followed by Hexi,while the poorest in Jiuquan City and Gannan Prefecture.Conclusions The general allocations of health resources in primary health care institutions are effective in majority of cities in Gansu Province,however the technical effectiveness is low.There is also unbalanced allocation in different cities.It is recommended to carry out multiple interventions to improve the level of medical technology and to balance the health resource allocation in primary health care institutions in Gansu.