| 老龄化背景下重庆市基层卫生资源配置效率分析 |
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| 引用本文： | 陶洲,刘城璐,徐畅,朱贤,蔡子汉,刘海波,许红.老龄化背景下重庆市基层卫生资源配置效率分析[J].现代预防医学,2022,0(3):451-455. |
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| 作者姓名： | 陶洲 刘城璐 徐畅 朱贤 蔡子汉 刘海波 许红 |
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| 作者单位： | 重庆医科大学公共卫生与管理学院/医学与社会发展研究中心/健康领域社会风险预测治理协同创新中心，重庆 400016 |
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| 摘 要： | 目的 分析2016—2019年重庆市基层医疗机构卫生资源配置效率，为老龄化背景下优化重庆市基层医疗卫生机构资源配置效率提供参考。方法 使用数据包络分析中的BCC模型和Malmquist指数模型分析重庆市基层卫生资源配置效率。结果 2016—2019年，重庆市基层医疗卫生资源配置的综合效率值不高，38个区县中有14个区县2019年处于DEA有效状态；重庆市全要素生产率指数降低0.7%，24个区县的全要素生产率指数大于1。结论 在重庆市老龄化背景下，基层医疗卫生机构资源配置综合效率有待提高，纯技术效率是提升的关键点，不同区域要制定科学合理的基层医疗卫生机构规划，加强区域内部联动协作，更好地满足老年群体健康需求。
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| 关 键 词： | 老龄化 基层医疗 卫生资源配置 数据包络分析 |
Allocation efficiency of primary medical institutions in Chongqing under the background of aging |
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| TAO Zhou,LIU Cheng-lu,XU Chang,ZHU Xian,CAI Zi-han,LIU Hai-bo,XU Hong.Allocation efficiency of primary medical institutions in Chongqing under the background of aging[J].Modern Preventive Medicine,2022,0(3):451-455. |
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| Authors: | TAO Zhou LIU Cheng-lu XU Chang ZHU Xian CAI Zi-han LIU Hai-bo XU Hong |
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| Affiliation: | School of Public Health and Management, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China |
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| Abstract: | Objective To analyze the allocation efficiency of health resources in primary medical institutions in Chongqing from 2016 to 2019, and to provide reference for optimizing the allocation of primary medical institutions in Chongqing under the background of aging.Methods BCC model and Malmquist index model in data envelopment analysis (DEA) were used to analyze the allocation efficiency of primary medical institutions in Chongqing.Results The overall efficiency of allocation in Chongqing’s primary medical institutions during 2016-2019 was not high. Fourteen of the 38 districts and counties were in a state of DEA effectiveness in 2019. The total factor productivity (TFP) of Chongqing decreased by 0.7%. There were 24 districts and counties with TFP>1.Conclusion Under the background of aging in Chongqing, the allocation efficiency of primary medical institutions needs improving, and the key is to improve pure technical efficiency. Different regions should formulate scientific and reasonable plans for primary medical institutions and strengthen intra-regional cooperation to better meet the health needs of the elderly. |
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| Keywords: | Aging Primary health care Health resource allocation DEA |
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