基于省域视角的我国城市公立医院的全要素生产率研究

曹玥, 王梓萱, 董四平, 李喜琴, 黎浩

曹玥, 王梓萱, 董四平, 李喜琴, 黎浩. 基于省域视角的我国城市公立医院的全要素生产率研究[J]. 广西医科大学学报, 2023, 40(10): 1757-1763. DOI: 10.16190/j.cnki.45-1211/r.2023.10.024
引用本文: 曹玥, 王梓萱, 董四平, 李喜琴, 黎浩. 基于省域视角的我国城市公立医院的全要素生产率研究[J]. 广西医科大学学报, 2023, 40(10): 1757-1763. DOI: 10.16190/j.cnki.45-1211/r.2023.10.024
Cao Yue, Wang Zixuan, Dong Siping, Li Xiqin, Li Hao. Total factor productivity of urban public hospitals in China based on provincial perspective[J]. Journal of Guangxi Medical University, 2023, 40(10): 1757-1763. DOI: 10.16190/j.cnki.45-1211/r.2023.10.024
Citation: Cao Yue, Wang Zixuan, Dong Siping, Li Xiqin, Li Hao. Total factor productivity of urban public hospitals in China based on provincial perspective[J]. Journal of Guangxi Medical University, 2023, 40(10): 1757-1763. DOI: 10.16190/j.cnki.45-1211/r.2023.10.024

基于省域视角的我国城市公立医院的全要素生产率研究

基金项目: 

国家卫生健康委财务司委托课题(No.A2021-DY-02)

详细信息
    通讯作者:

    李喜琴,E-mail:xiqin2056@sina.com

    黎浩,E-mail:h.li@whu.edu.cn

  • 中图分类号: R19

Total factor productivity of urban public hospitals in China based on provincial perspective

  • 摘要   目的:通过对全国31个省域(不含港澳台地区)的城市公立医院医疗服务投入产出指标(2019—2021年)进行全要素生产率测算,为今后全国城市医疗卫生资源配置和规划提供依据和建议。方法:基于2019—2021年全国31个省域医疗服务投入和产出数据,采用Bootstrap-Malmquist-DEA 模型,测算各省域城市公立医院的全要素生产率。结果:2019—2021 年全国城市公立医院全要素生产率变化指数(TFPC)为1.083,3年间总体略有增长,呈先降后升趋势,且中部> 西部> 东部;2019—2020年全国TFPC 为0.889,总体略有下降,且西部> 中部> 东部,2020—2021 年全国TFPC 为1.216,总体略有增长,且中部> 东部> 西部。结论:疫情发生后我国城市公立医院医疗服务全要素生产率先降后升,全要素生产率增长水平在各区域间不够均衡,技术进步和技术效率共同影响全要素生产率变化水平,城市公立医院在进行规模扩张的同时应更加注重自身的组织管理能力建设。
    Abstract   Objective: To calculate the total factor productivity (TFP) through the input-output indicators of medical services (2019-2021) of urban public hospitals in 31 provinces (excluding Hong Kong, Macao and Taiwan)in order to provide basis and suggestions for the future allocation and planning of urban medical and health re-sources in China.Methods: Based on the input and output data of medical services in 31 provinces from 2019 to 2021, the Bootstrap-Malmquist-DEA model was used to calculate the total factor productivity of public hospitals in cities of each province.Results: From 2019 to 2021, the change index of TFP of national urban public hospi-tals (TFPC) was 1.083, showing a slight increase in the three years as a whole, with a trend of first falling and then rising, and a central> western> eastern region; the national TFPC from 2019 to 2020 was 0.889, with an over-all slight decrease and a western> central> eastern region.From 2020 to 2021, the national TFPC was 1.216, with an overall slight increase and a central> eastern> western region.Conclusion: After the COVID-19 outbreak, Chi-na’s urban public hospitals’TFP of medical services experiences a decline and then an increase, and the growth level of TFP is not balanced among re-gions.Technological progress and technological ef-ficiency jointly affect the change level of TFP.Urban public hospitals should pay more attention to their own orga-nizational and management capacity building while expanding their scale.
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出版历程
  • 收稿日期:  2023-06-05
  • 网络出版日期:  2024-01-31
  • 刊出日期:  2023-10-01

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