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本文基于2002～2010年全国范围内31个省市的面板数据,采用Malmquist生产率指数测算了我国医疗体系的全要素生产率及其分解值变化情况,并运用两阶段方法和Tobit模型对生产率成长的影响因素进行了深入的分析。研究发现,我国医疗体系的整体全要素生产率实现了41.8%的增长,增长的源泉主要来自于技术进步,人口密集度、受教育程度、公共卫生投入、医疗机构地理分布密集度以及医卫技术人员与非技术人员配置情况是影响技术进步和生产率成长的重要因素。以上发现对于进一步深化我国医疗卫生体制改革具有重要的借鉴意义。
Based on the panel data of 31 provinces and cities in China from 2002 to 2010, this paper uses the Malmquist productivity index to measure the total factor productivity and its decomposition value changes in China’s medical system, and uses the two-stage method and the Tobit model to influence the productivity growth Factors in-depth analysis. The study found that the overall TFP of China’s medical system has increased by 41.8%. The sources of growth mainly come from technological progress, population density, education level, public health investment, geographic distribution of medical institutions, and medical technicians The deployment of non-technical staff is an important factor that affects technological progress and productivity growth. The above findings have an important reference for further deepening the reform of China’s medical and health system.