文献类型：期刊文献

中文题名：西部地区中医类医院卫生资源配置效率及公平性研究

英文题名：Research on the efficiency and equity of health resource allocation in traditional Chinese medicine hospitals in western China

作者：宋广[1];赵妍[1];闵厅[1];李文婕[2]

第一作者：宋广

机构：[1]甘肃中医药大学卫生管理学院,甘肃兰州730000;[2]甘肃省第二人民医院,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2025

卷号：39

期号：6

起止页码：75

中文期刊名：卫生软科学

外文期刊名：Soft Science of Health

基金：陇原青年创新创业人才团队项目(2022LQTD04);甘肃中医药大学中医学一流学科开放基金项目(ZYXKSD-202431);兰州市科技发展指导性项目(2022-ZD-55)。

语种：中文

中文关键词：中医类医院;资源配置;效率;公平性;西部地区;数据包络分析;基尼系数

外文关键词：traditional Chinese medicine hospitals;resource allocation;efficiency;equity;western china;data envelopment analysis;Gini coefficient

摘要：[目的]研究西部地区2017-2021年中医类医院卫生资源配置效率变化情况,为优化西部地区卫生资源配置提供参考。[方法]运用三阶段DEA-Malmquist指数模型从静态和动态角度对西部地区中医类医院卫生资源配置效率进行分析,运用基尼系数和洛伦茨曲线分析卫生资源公平性。[结果]2021年西部地区中医类医院卫生资源配置综合效率、纯技术效率和规模效率均值分别为0.833、0.93和0.896,4省DEA有效,8省无效。2017-2021年全要素生产率指数均值为0.973,年均下降2.7%,技术效率与技术进步双重制约。基尼系数显示,人口分布公平性较高,地理分布公平性差,资源配置呈现“人口均衡-地理失衡”特征。非DEA有效省份存在投入冗余与产出不足。[结论]西部地区中医类医院卫生资源配置效率总体偏低,省际效率水平差异较大,技术进步是制约全要素生产率提升的关键。
Objective To study the changes in the efficiency of health resource allocation in traditional Chinese medicine(TCM)hospitals in western China from 2017 to 2021,and to provide a reference for optimizing health resource allocation in the western region.Methods The three-stage DEA-Malmquist index model was used to analyze the efficiency of health resource allocation in TCM hospitals in western China from both static and dynamic perspectives.The Gini coefficient and Lorenz curve were used to analyze the equity of health resource allocation.Results In 2021,the average values of comprehensive efficiency,pure technical efficiency,and scale efficiency of health resource allocation in TCM hospitals in western China were 0.833,0.93,and 0.896,respectively.DEA was effective in four provinces and ineffective in eight provinces.From 2017 to 2021,the average value of the total factor productivity(TFP)index was 0.973,with an average annual decrease of 2.7%,constrained by both technical efficiency and technological progress.The Gini coefficient showed that the equity of population distribution was relatively high,while that of geographical distribution was poor,presenting the feature of“population balance but geographical imbalance”in resource allocation.Provinces that were not DEA effective had input redundancy and insufficient output.Conclusions The overall efficiency of health resource allocation in TCM hospitals in western China is relatively low,and there are significant differences in efficiency levels among provinces.Technological progress is the key factor restricting the improvement of total factor productivity.