| 引用本文：周迪, 袁结松.兼顾效率与公平的中国卫生资源配置:问题发现及政策路径[J].中国卫生政策研究,2018,11(3):64-71 |
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| 兼顾效率与公平的中国卫生资源配置:问题发现及政策路径 |
| 投稿时间：2017-08-15 修订日期：2017-12-13 PDF全文浏览 HTML全文浏览 |
| 周迪, 袁结松 |
| 广东外语外贸大学经贸学院 广东广州 510006 |
| 摘要:目的：探讨卫生资源公平且有效率的配置方式，促进居民公平有效分享公共卫生资源。方法：基于我国31个省级区域2010~2014年的数据，通过超效率DEA模型测算各地区卫生资源配置效率，以各地医疗卫生机构获得的人均财政补贴收入来考察卫生资源配置的公平情况，对卫生公平和效率进行静态差异分析和动态固化分析。结果：无论是地区之间还是内部，我国卫生资源公平的差异程度以及固化程度都比效率大，卫生资源存在不公平和不合理两大问题。结论：中央政府应加大卫生资源调节力度，精准扶持那些"低公平、高效率"的地区，并形成稳定的激励机制。 |
| 关键词:卫生资源 公平 效率 协调配置 政策路径 |
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| Efficient and equitable of health resources allocation in China: Problem discovery and policy path |
| ZHOU Di, YUAN Jie-song |
| School of International Trade & Economics, Guangdong University of Foreign Studies, Guangzhou Guangdong 510006, China |
| Abstract:Objective:To explore a fair and efficient way to realize the allocation of health resources that enable all people have equitable access to the public health resources in a fair and effective manner. Methods:Based on the data from 31 provincial regions in China from 2010 to 2014, this paper measured the efficiency of health resources allocation in each area with DEA model of super-efficiency, and investigated the fair allocation of health resources by the per capita financial subsidy incomes obtained by medical and health care institutions in various regions. This study analyzed statically and dynamically the differences of the health equity and efficiency of health resources. Results:The results show that whether within or between regions, both the degree of difference in the fairness (Gini coefficient) and the degree of consolidation (the curing degree of the equity) of health resources in China are greater than efficiency, and there exist two major problems for the equity of health resources which are insufficiency and irrationality. Conclusions:The central government should strengthen the fair adjustment of health resources allocation, supporting those areas with low fairness and low efficiency accurately and forming a stable incentive mechanism to achieve a sound development for the health service industry in China. |
| Key words:Health resources Equity Efficiency Coordinated allocation Policy path |
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