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中文摘要: 目的 了解陕西省较具代表性的10个市的卫生资源配置和利用情况进行研究，探索优化卫生资源配置的措施和建议。方法 采用数据包络分析法（DEA），对陕西省卫生资源配置的横向及纵向效率状况进行有效性评价及分析。结果 陕西省各市医疗卫生系统的资源配置情况相差较大，10个市中医疗卫生系统技术效率有效的城市只有3个（安康市、铜川市和西安市），纯技术效率有效的城市有5个（安康市、商洛市、宝鸡市、铜川市和西安市），10个市中规模效率有效的城市有3个（安康市、铜川市和西安市）。结论 陕西省大部分城市仅需要细微的调整投入－产出结构就能实现规模效率的最佳状态， 而效率无效的医疗卫生系统主要原因为投入过多，即当前医疗卫生系统的不断扩大规模反而导致了当前的低效率，需要合理调整医疗卫生系统的投入结构。
中文关键词: 卫生资源配置；效率；投入；产出 陕西
Abstract:Objective To study the allocation and utilization of health resources in 10 cities in Shaanxi Province, to explore the measures and suggestions to optimize the allocation of health resources. Methods The validity and evaluation of horizontal and vertical efficiency of health resource allocation in Shanxi Province were carried out by data envelopment analysis (DEA). Results The resource allocation of medical and health system varied widely in Shaanxi Province, technical efficiency of 3 cities(Ankang, Tongchuan and Xi’an) were 1.0, and 5 cities (Ankang, Shangluo, Baoji, Tongchuan and Xi’an) were efficient with pure technical efficiency, and only 3 cities(Ankang, Tongchuan and Xi’an) were efficient with scale efficency. Conclusion Most inefficient cities in Shanxi Province would achieve the optimal efficiency through a minor change of input-output structure. The inefficiency of medical and health systems were mainly due to excessive investment, which indicated that the current size of the health care system led to the low efficiency. More attention should be paid to the structure of the health system’s investment.
keywords: health resource allocation efficiency input outputs Shaanxi
文章编号：3201907001 中图分类号：R197.32 文献标志码：
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