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目的:评价我国各省份卫生部门产出效率,为资源优化和进一步医疗改革提供政策依据。方法:将居民健康福利和医疗负担同时纳入分析框架,利用数据包络分析方法对我国省际卫生部门的产出效率进行考察。结果:综合测度结果表明我国省际卫生部门的效率缺失主要体现在纯技术效率;地区层次来看,无论综合导向,还是单独健康福利或医疗负担导向下东中西部的产出效率均依次递减;结论:一方面,当下卫生部门发展的重点应放在管理效率的提升和医疗系统的深化改革,而非单纯规模的扩大上;另一方面,积极健全区域间的医保基金合作机制对提高医保资金的配置效率,提升整体卫生部门产出效能有重要意义。
OBJECTIVE: To evaluate the output efficiency of the health departments in all provinces in China and provide policy basis for resource optimization and further medical reform. Methods: The health benefits and medical burdens of residents were included in the analysis framework at the same time, and the data envelopment analysis was used to investigate the output efficiency of the provincial health departments in China. Results: The results of comprehensive evaluation showed that the efficiency deficit of provincial health departments was mainly reflected in pure technical efficiency. From a regional perspective, the output efficiency of eastern, central and western regions both decreased with the guidance of comprehensive guidance or the separate health benefits or medical burdens; Conclusion: On the one hand, the current development of the health sector should focus on the improvement of management efficiency and the deepening reform of the medical system, rather than the expansion of a mere scale; on the other hand, actively improve inter-regional medical insurance fund cooperation mechanism to improve the medical insurance funds The allocation efficiency, improve the overall health sector output efficiency is of great significance.