中国全科医学2018，Vol.21Issue(1)：88-92,5.DOI:10.3969/j.issn.1007-9572.2018.01.019
2003—2014年我国乡镇卫生服务全要素生产率变化趋势研究
Trend of Total Factor Productivity of Township Health Services in China during 2003—2014
摘要
Abstract
Objective To explore the trend of total factor productivity of township health services in China from 2003 to 2014.Methods Based on the panel data from 10 volumes ofChina's Health Statistical Yearbook (2004—2013) and 2 volumes ofChina's Health and Family Planning Statistical Yearbook (2014—2015), the township hospitals in 29 provinces (or autonomous regions or municipalities directly under the central government), excluding Beijing and Shanghai, were selected as the subjects. DEA-Malmquist index was used to analyze the changes in total factor productivity of township health services in China. The input indicators include the number of township hospitals, number of township health professionals and number of beds in township hospitals, and the output indicators include the number of visits, bed occupancy rate, and average length of stay in the hospital.Results Compared with 2003, the number of township hospitals per 1000 rural population, number of health professionals per 1000 rural population, number of beds per 1000 rural population, number of visits, bed occupancy rate and average length of stay in township hospitals in China in 2014 increased by -0.01, 0.19, 0.58, 337319263, 24.26 percentage points, 2.09 days, respectively, with an average annual growth rate of -2.01％, 1.57％, 5.29％, 3.68％, 4.77％, 3.73％, respectively during 2003—2014. During 2003—2014, the average technical efficiency, pure technical efficiency and scale efficiency of township health services in China was 0.767-0.892, 0.860-0.919, and 0.876-0.968, respectively, the mean value was 0.830, 0.887 and 0.930 for each of them. During 2003—2014, the technical efficiency change index of township health services declined by 0.5％, the technical change index increased by 2.8％, the pure technical efficiency change index increased by 0.3％, the scale efficiency change index decreased by 0.8％, and the total factor productivity change index increased by 2.3％. During the same period, in eastern, central and western regions of China, the mean value of technical efficiency change index was 0.996, 1.006 and 0.987, respectively, the mean value of technical change index was 1.048, 1.023 and 1.017, respectively, the mean value of pure technical efficiency change index was 1.003, 1.008 and 1.000, respectively, the mean value of scale efficiency change index was 0.993, 0.999 and 0.987, respectively and the mean value of total factor productivity change was 1.044, 1.029 and 1.004, respectively.Conclusion During 2003—2014, the national total factor productivity showed a rising trend generally, but significant differences were found between the three regions. Technological progress is the main contributor while scale efficiency is the main constraint for the improvement of the total factor productivity of township health services in China. In view of this, properly regional planning and taking targeted measures in response to the characteristics of changes in technical efficiency and technical progress in local regions become the two feasible approaches to improve the efficiency of township health services in China.关键词
乡镇卫生服务/数据包络分析/效率/全要素生产率Key words
Rural health services/Data envelopment analysis/Efficiency/Total factor productivity分类
医药卫生引用本文复制引用
杨希,陈曼莉..2003—2014年我国乡镇卫生服务全要素生产率变化趋势研究[J].中国全科医学,2018,21(1):88-92,5.基金项目
湖北省教育厅科学技术研究计划优秀中青年人才项目(Q20121604) （Q20121604）
湖北省教育厅人文社会科学研究一般项目(17Y061) （17Y061）
