健康发展与政策研究2026，Vol.29Issue(3)：445-451,7.DOI:10.12458/HDPR.202503051
基于DEA-Malmquist指数模型的云南省卫生监督效率分析
Health supervision efficiency in Yunnan Province based on DEA-Malmquist index model
李佳蓉 1李松林 1闫晔鑫 1张语轩 1李燕琴 1王丽荣 1庄贵华 1杨波 2马亚玲 2张诗楠 2易纯明 2张云博1
作者信息
- 1. 西安交通大学医学部公共卫生学院,陕西 西安 710061
- 2. 云南省卫生健康综合监督中心,云南 昆明 650231
- 折叠
摘要
Abstract
Objective This study aims to reveal changes in health supervision efficiency across 16 cities and prefectures in Yunnan Province,and to provide a scientific basis for health supervision decision-making.Methods Data on the basic characteristics and supervision activities of health supervision institutions in Yunnan Province between 2019 and 2023 were extracted from the National Health Supervision Information Reporting System.Input indicators included the number of supervision institutions,number of health supervision personnel,expenditure,and total floor area of supervision institutions;output indicators included the number of inspected entities,the completion rate of national random sampling inspections,and the number of cases investigated and handled.The DEA-Malmquist index model was then used to statistically analyze the efficiency of health supervision across the province.Results From 2019 to 2023,the number of health supervision organizations in Yunnan Province increased from 143 to 150.The number of health supervision personnel remained generally stable,reaching 1 758 in 2023.The total floor area of supervision institutions showed an overall decreasing trend but rebounded in 2023.The mean total factor productivity across the cities and prefectures of Yunnan Province from 2019 to 2023 was 1.115,representing an overall increase in operational efficiency of 11.5%.During this period,the total factor productivity change index exceeded 1 in 14 cities and prefectures,while it was below 1 in two prefectures,Dehong Dai and Jingpo Autonomous Prefecture and Nujiang Lisu Autonomous Prefecture.Conclusions Between 2019 and 2023,the overall efficiency of health supervision in Yunnan Province exhibited an upward trend;however,substantial variations were observed across cities and prefectures.To enhance the efficiency of health supervision and enforcement,it is necessary to dynamically address human resource shortages,establish regional coordination mechanisms to improve technical efficiency,innovate regulatory models,and strengthen institutional safeguards.关键词
云南省/卫生监督/效率/DEA-Malmquist指数模型Key words
Yunnan Province/health supervision/efficiency/DEA-Malmquist index model分类
医药卫生引用本文复制引用
李佳蓉,李松林,闫晔鑫,张语轩,李燕琴,王丽荣,庄贵华,杨波,马亚玲,张诗楠,易纯明,张云博..基于DEA-Malmquist指数模型的云南省卫生监督效率分析[J].健康发展与政策研究,2026,29(3):445-451,7.
