基于链式网络DEA模型的基本医疗服务均等化研究

发布时间：2019-04-25 20:27

【摘要】：以往的基本医疗服务均等化研究文献注重对现状和对策研究,对基本医疗服务均等化的理解停留在控制某项指标缩小差异的基础上,忽略医疗卫生服务系统的投入产出逻辑。本文通过建立基本医疗服务投入产出框架,以改善地区之间的效率差异、实现地区间医疗卫生发展均等化为理论基础,运用链式网络DEA(data envelopment analysis)模型,计算各地区之间的投入产出效率,从各个子系统出发控制单个变量来实现医疗卫生投入产出效率的均等化。实证分析表明,现阶段调整财政医疗卫生支出不会提高各地区的效率水平,但能够缩小地区之间的投入产出效率差距。各地区财政性医疗卫生投入应该以医疗卫生投入产出效率高低为参考标准,有针对性地、差异化地安排财政预算。
[Abstract]:The previous literature on equalization of basic medical services focused on the current situation and countermeasures. The understanding of equalization of basic medical services remained on the basis of controlling a certain index to narrow the difference, ignoring the input-output logic of the medical and health service system. In this paper, the input-output framework of basic medical services is established in order to improve the efficiency difference between regions, realize the equalization of medical and health development among regions into a theoretical basis, and use the chain network DEA (data envelopment analysis) model. The input-output efficiency of each region is calculated and a single variable is controlled from each sub-system to realize the equalization of medical input-output efficiency. The empirical analysis shows that the adjustment of fiscal medical and health expenditure will not improve the efficiency level of each region, but can narrow the gap of input-output efficiency between regions. The financial medical and health input in each region should be based on the standard of the efficiency of medical and health input and output, and the fiscal budget should be arranged in a targeted and differentiated manner.
【作者单位】：东北大学工商管理学院;海南大学经济与管理学院;
【基金】：海南省哲学社会科学规划课题(HNSK[GJ]14-18)
【分类号】：R197.1;F203

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