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Study on health resources allocation efficiency based on SE-DEA and Tobit model |
GAO Qisheng |
Zhejiang Medical College, Hangzhou 310053, China |
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Abstract Objective To evaluate health resources input-output efficiency of 11 prefecture-level cities in Zhejiang Province and provide references for improving synthetic allocation efficiency. Methods Selected input-output key indicators, and used BCC model and SE-DEA model to evaluate efficiency, established Tobit Model to analyze influence factors of synthetic efficiency value. Results The average value of comprehensive efficiency of 11 prefecture-level cities was 0.956, pure technical efficiency value was 0.979, scale efficiency value was 0.976. There were 6 DEA efficient cities, the comprehensive efficiency values are Ningbo(1.292),Jiaxing(1.154), Taizhou(1.088), Quzhou(1.041), Jinhua(1.032),Huzhou(1.002). Hangzhou and Zhoushan are the 2 pure technical efficient cities among 5 Non-DEA efficient cities. Hangzhou is in the phase of decreasing returns to scale, and Zhoushan is in the phase of increasing returns to scale. Wenzhou,Shaoshing, Lishui are the three Non-DEA effective prefecture-level cities which the technical efficiency and scale efficiency are both less than 1. They are positively correlated relationship between health resources allocation comprehensive efficiency and the the proportion of general account for the total number of hospital. Conclusion The total health resources allocation efficiency of Zhejiang Province was higher, but there also existed regional difference. The health resources development scale should be reasonably adjusted and the regional health planning should be made scientifically in order to improve allocation efficiency.
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Received: 21 December 2015
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[1] 张映芹,王青.我国城乡医疗卫生资源配置均衡性研究[J].医学与社会,2016,29(1):7-9. [2] 康海媛,孙焱林.我国各省区医疗卫生资源配置水平的比较研究[J].中国卫生经济,2013,32(11):41-43. [3] 周小健,姜管徐.基于DEA 的卫生资源配置效率评价分析[J].现代预防医学,2010,37(20):3873-3875. [4] 李文辉,黄小平,唐力翔,等.基于DEA方法的我国各省市卫生资源配置效率研究[J].卫生经济研究,2011(3):44-46. [5] 高启胜,陈定湾,刘盼盼.基于超效率DEA模型的医科大学科研效率评价[J].中华医学科研管理杂志,2013,26(5):312-314. [6] 刘丽杭,汪涛,黄顺玲.基于超DEA模型的湖南省社区卫生服务系统运行效率研究[J].中国卫生经济,2013,32(7):74-77. [7] 王高玲,田大将.基于超效率数据包络分析的我国社区卫生服务机构服务效率的评价研究[J].中国全科医学,2014,17(28):3296-3300. [8] 马广奇,李文颖.基于超效率DEA-Tobit模型的中国造纸印刷业经营效率分析[J].首都经济贸易大学学报,2013(1):79-85. [9] 林凯,邵燕华,马晓姣,等.浙江省三级公立医院综合技术效率及影响因素:基于DEA 和Tobit 回归分析[J].中国卫生政策研究,2014,7(8):62-67. [10]钱芳,周向红,钟培松.基于DEA的上海市卫生资源配置效率研究[J].中国卫生质量管理,2014,21(2):80-82. [11]赖溱,黄莉.基于DEA的重庆市医疗资源配置效率研究[J].中国卫生事业管理,2014(4):274-277. [12]李慧君,张建华.我国医疗卫生资源效率分析:基于两阶段的Malmquist-Tobit方法实证[J].中国卫生经济,2013,32(10):32-34. [13]张晓岚,刘朝,李黎.我国医院效率的省域水平及影响因素分析:基于省际面板数据的 DEA-Tobit估计[J].华东经济管理,2014,28(11):172-176. [14]董四平,肖婧婧,梁铭会.基于数据包络分析的县级综合医院规模经济效率研究[J].中国卫生经济,2011,30(1):67-70. [15]李显文,徐盛鑫,张亮.基于效率的医院规模经济实证分析[J].中国医院管理,2011,31(4):65-68. |
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