南京医科大学学报（社会科学版）2026，Vol.26Issue(2)：133-142,10.DOI:10.7655/NYDXBSSS250455
长江经济带与黄河流域中医类医疗机构卫生资源配置效率比较研究
Comparative study of health resource allocation efficiency in Traditional Chinese Medicine(TCM)institutions across the Yangtze River Economic Belt and the Yellow River Basin
摘要
Abstract
The study employed the DEA-Malmquist index model and Markov Analysis to evaluate the health resource allocation efficiency and dynamic changes of Traditional Chinese Medicine(TCM)medical institutions in the Yangtze River Economic Belt and the Yellow River Basin from 2014 to 2023.The results showed that the comprehensive efficiency of TCM medical institutions in the Yangtze River Economic Belt and the Yellow River Basin in 2023 was 0.892 and 0.883,respectively,indicating relatively low efficiency in both regions.The total factor productivity in both regions was greater than 1,and exhibited an overall upward trend.However,the efficiency type was unstable,with transfer risks,resulting in a leapfrog transfer occurring in some areas.Spatial factors affected efficiency transfer,and these transfers were associated with the initial level of resource allocation.Some provinces experience a phenomenon of decreasing returns to scale,along with input redundancy and insufficient output.While the configuration of low level and high level was relatively stable,there remained a risk of grade decline.The findings suggest the need to improve the efficiency of resource utilization by appropriately adjusting the scale of TCM healthcare institutions,focusing on redundant resources,promoting technological progress,optimizing resource allocation,and improving the dynamic evaluation and regulatory mechanism.关键词
中医类医疗机构/资源配置/数据包络分析/全要素生产率/马尔可夫链Key words
TCM institutions/health resource allocation/data envelopment analysis/total factor productivity/Markov Analysis分类
医药卫生引用本文复制引用
郭孟子,汤质如..长江经济带与黄河流域中医类医疗机构卫生资源配置效率比较研究[J].南京医科大学学报（社会科学版）,2026,26(2):133-142,10.基金项目
安徽省卫生总费用核算项目(K2021209) （K2021209）
