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目的:研究我国医疗配置效率的地区差异及其动态变化趋势。方法:通过2007—2014年8年间我国31省的医疗资源配置,采用DEA-Malmquist指数测算了医疗资源配置的全要素生产率及其分解效率。结果:医疗资源配置的全要素生产率存在地区差异和时间波动,技术进步是阻碍全要素生产率增长的主要原因。结论:我国应该加强医疗卫生技术的研发投入和人才引进,均衡医疗卫生支出在地区间的分配,跟踪和监督医疗资源的利用提高其配置效率。
Objective: To study the regional differences and trends of medical allocation efficiency in China. Methods: By using the DEA-Malmquist index, the total factor productivity of medical resources allocation and its decomposition efficiency were calculated through the allocation of medical resources in 31 provinces in China during the eight years from 2007 to 2014. Results: There are regional differences and time fluctuations in total factor productivity of medical resources allocation, and technological progress is the main reason that hinders the growth of total factor productivity. Conclusion: China should strengthen the R & D investment and talent introduction of medical and health technologies, balance the distribution of medical and health expenditure among regions, track and supervise the utilization of medical resources and improve the allocation efficiency.