[1]朱欣叶 阮智慧 卓扬凯 时孝春 钱爱兵.我国中医医院服务效率的地区差异及影响因素研究[J].中国卫生质量管理,2024,31(05):017-21.[doi:10.13912/j.cnki.chqm.2024.31.5.05]
 ZHU Xinye,RUAN Zhihui,ZHUO Yangkai.Regional Difference and Influencing Factors of Service Efficiency in Traditional Chinese Medicine Hospitals in China[J].Chinese Health Quality Management,2024,31(05):017-21.[doi:10.13912/j.cnki.chqm.2024.31.5.05]
点击复制

我国中医医院服务效率的地区差异及影响因素研究()
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年05期
页码:
017-21
栏目:
医疗质量
出版日期:
2024-05-15

文章信息/Info

Title:
Regional Difference and Influencing Factors of Service Efficiency in Traditional Chinese Medicine Hospitals in China
作者:
朱欣叶 阮智慧 卓扬凯 时孝春 钱爱兵
南京中医药大学卫生经济管理学院
Author(s):
ZHU XinyeRUAN ZhihuiZHUO Yangkai
School of Health Economics and Management,Nanjing University of Chinese Medicine
关键词:
中医医院服务效率地区差异影响因素
Keywords:
Chinese Medicine HospitalsService EfficiencyRegional DifferenceInfluencing Factor
分类号:
R191R197.1
DOI:
10.13912/j.cnki.chqm.2024.31.5.05
文献标志码:
A
摘要:
目的测算我国中医医院服务效率水平,分析不同地区中医医院服务效率差异及影响因素,为优化中医药资源配置提供参考。方法采用超效率SBM模型测算2012年-2021年我国中医医院服务效率,运用Dagum基尼系数分析我国中医医院服务效率地区差异,借助空间杜宾模型探究其影响因素及溢出效应。结果2012年-2021年我国中医医院服务效率均值为0.907,东部、中部、西部及东北地区中医医院服务效率均值分别为0.955、0.886、0.947、0.669。中部地区中医医院服务效率基尼系数均值最大,为0.159;西部地区中医医院服务效率基尼系数均值最小,为0.107。中部地区与东北地区中医医院之间服务效率的差异最大。超变密度是我国中医医院服务效率总体差异的主要来源。空间自相关系数显著为负,人均受教育水平和人均地区生产总值的直接效应系数显著为正,城镇率和人口密度的溢出效应系数显著为负,床护比的直接效应系数和溢出效应系数均显著。结论我国中医医院服务效率有待进一步提升,应重点关注东北地区中医医院服务效率。不同地区间存在的交叉重叠问题是导致我国中医医院服务效率存在差异的关键因素。我国中医医院服务效率受人均受教育水平、人均地区生产总值、城镇率、人口密度、床护比等多种因素影响。
Abstract:
ObjectiveTo estimate the service efficiency level of traditional Chinese medicine (TCM) hospitals in China, analyze regional differences and influencing factors, and provide a reference for optimizing the allocation of TCM resources.MethodsThe super-efficiency SBM model was used to estimate the service efficiency of TCM hospitals from 2012 to 2021, the Dagum Gini coefficient was used to analyze the regional differences in service efficiency of TCM hospitals, and the influencing factors and spillover effects were explored with the help of the spatial Durbin model. ResultsThe average annual service efficiency of TCM hospitals from 2012 to 2021 was 0.907, with the eastern, central, westward, and northeast having respective averages of 0.955, 0.886, 0.947, and 0.669. The service efficiency of TCM hospitals in the central region was the biggest of 0.159, while the average annual Gini coefficient of service efficiency of TCM hospitals in the western region was the smallest of 0.107. The difference of service efficiency of TCM hospitals was the biggest between central region and northeast region. Supervariable density was the main source of the overall difference of service efficiency in TCM hospitals. The spatial autocorrelation coefficient was significantly negative, the direct effect coefficient of per capita education level and per capita GDP was significantly positive, the spillover effect coefficient of urban ratio and population density was significantly negative, and the direct effect coefficient and spillover effect coefficient of bed-to-cover ratio were significant.Conclusion The development of TCM hospitals in China has room for optimization, and TCM hospitals in the northeast region should be the focus of attention and support in the next stage. The overlapping problem between different regions was the key factor that leads to the gap of service efficiency in TCM hospitals. The service efficiency of TCM hospitals in China is affected by many factors, such as per capita education level, per capita GDP, urban rate, population density and bed-to-care ratio.

参考文献/References:

[1]沈思瑜,邰蕾蕾.基于三阶段DEA的我国中医类医院运行效率研究[J].现代预防医学,2022,49(22):4151-4155,4168.[2]柳 玥.我国中医医院服务效率及影响因素研究[D].江西:南昌大学,2021.[3]杨 欢.医疗卫生服务效率的空间网络结构与形成机制[J].统计与决策,2023,39(4):84-89.[4]范霖杰,李瑞锋,张欣雨,等.基于DEA法的“十三五”时期我国中医医院卫生资源配置效率评价[J].中国医院管理,2022,42(10):39-43.[5]林贤珊,闫志来,庞震苗.“十二五”期间广东省三级中医院运行效率研究[J].医学与社会,2019,32(6):73-76.[6]于 伟,张 鹏,姬志恒.中国城市群生态效率的区域差异、分布动态和收敛性研究[J].数量经济技术经济研究,2021,38(1):23-42.[7]崔梦菲,李德勋.我国中医医院运行效率及影响因素分析:基于30个省份面板数据[J].荆楚理工学院学报,2022,37(3):32-41.[8]邓神根,王芊芊,邢家润,等.2019-2021年我国中医医院卫生资源配置效率分析[J].中国医院,2023,27(9):1-4.[9]陈 芳,向媛薇,蒋建华,等.广东省中医医院效率及影响因素分析[J].中国卫生事业管理,2018,35(10):744-747.[10]杨 希,朱 晨.我国中医医院服务效率地区差异及协同发展研究[J].卫生经济研究,2019,36(12):25-28.[11]陈 莉,赵健尧,张晓香,等.基于DEA-Malmquist指数的中医医院服务效率研究[J].医学与社会,2021,34(4):56-60.[12]阮智慧,郭楚宁,胡容容,等.我国中医医院运行效率的地区差异及空间收敛性研究[J].中国医院,2022,26(10):25-28.[13]寇儒欣,梅康妮,秘玉清,等.基于三阶段DEA模型的我国中医医院运营效率研究[J].中国医院,2023,27(3):33-36.[14]胡伟男,席妮,王文天,等.我国卫生人力资源的空间差异及分布动态演进:基于Dagum基尼系数分解与Kernel密度估计的实证研究[J].中国卫生政策研究,2022,15(11):17-23.[15]LI JX, XU MZ, LIU TF, et al. Regional differences, dynamic evolution and convergence of public health level in China[J].Healthcare (Basel),2023,11(10):1459. [16]XIN Y,REN XH.Determinants of province-based health service utilization according to Andersen’ s Behavioral Model:a population-based spatial panel modeling study [J]. BMC Public Health,2023, 23(1):985.[17]司建平.中医医院现代管理制度建设调查研究[J].中国医院管理,2019,39(8):26-28.[18]杨雨晨,徐 阅,项楠,等.基于DEA-Malmquist指数的我国三级公立中医医院效率研究[J].中国卫生资源,2019,22(6):435-439.[19]韦柳丝,张新花,零春晴,等.基于DEA模型的广西中医类医院卫生资源配置效率评价[J].卫生软科学,2019,33(10):45-51.[20]李志广,丁志远,孔爱杰,等.基于三阶段DEA模型的我国中医医院与中西医结合医院运行效率比较[J].医学与社会,2021,34(2):56-61.[21]付晓彤,王 显,黄友良,等.国家中医区域医疗中心建设模式探索:以北京中医药大学东直门医院为例[J].中国卫生质量管理,2023,30(11):7-10.[22]张钟文,李瑞锋.加强中医药高层次人才队伍建设推动中医医院高质量发展[J]. 中国卫生质量管理,2023,30(11):11-14.[23]魏 琳,刘杨晨,朱 晶,等.基于护理工作负荷的中医医院护理人力资源配置与评价[J].中国护理管理,2017,17(1):95-99.[24]张京津,胡正东.我国中医医院卫生资源配置效率分析:基于DEA和Malmquist指数[J].卫生软科学,2020,34(10):74-79.[25]阮智慧,钱爱兵.突发公共卫生事件中伪健康信息传播的系统动力学模型研究[J].医学信息学杂志,2022,43(3):18-24.[26]杨 涛,刘 勇,孟雪晖,等.浙江省4所中医医院门诊患者满意度现状及影响因素调查研究[J].中国医院,2021,25(7):41-44.

相似文献/References:

[1]郭慧君 刘婕 周仪洁 贾春梅.从DRGs数据测算探析中医院管理问题[J].中国卫生质量管理,2020,27(02):053.[doi:10.13912/j.cnki.chqm.2020.27.2.17]
[2]周明华谭红何思长罗鑫.四川省内中医医院医疗费用结构变动分析[J].中国卫生质量管理,2022,29(08):033.[doi:10.13912/j.cnki.chqm.2022.29.8.08 ]
 ZHOU Minghua,TAN Hong,HE Sizhang.Analysis on Changes of Medical Expense Structure of Traditional Chinese Medicine Hospital in Sichuan[J].Chinese Health Quality Management,2022,29(05):033.[doi:10.13912/j.cnki.chqm.2022.29.8.08 ]
[3]王成李瑞锋鄢锴灵马爽.基于医疗资源与医疗服务对比的中医医院高质量发展研究[J].中国卫生质量管理,2023,30(11):001.[doi:10.13912/j.cnki.chqm.2023.30.11.01 ]
 WANG Cheng,LI Ruifeng,YAN Kailing.High-Quality Development of Traditional Chinese Medicine Hospitals Based on the Comparison of Medical Resources and Medical Services[J].Chinese Health Quality Management,2023,30(05):001.[doi:10.13912/j.cnki.chqm.2023.30.11.01 ]
[4]张钟文李瑞锋.加强中医药高层次人才队伍建设推动中医医院高质量发展[J].中国卫生质量管理,2023,30(11):011.[doi:10.13912/j.cnki.chqm.2023.30.11.03 ]
 ZHANG Zhongwen,Li Ruifeng.Strengthening the Construction of Traditional Chinese Medicine High-Level Talents and Promoting the High-Quality Development of Traditional Chinese Medicine Hospitals[J].Chinese Health Quality Management,2023,30(05):011.[doi:10.13912/j.cnki.chqm.2023.30.11.03 ]
[5]邹鎔何静王晓琦郭炫麟.北京市某中医医院医生医患关系和职业倦怠相关性研究[J].中国卫生质量管理,2023,30(11):015.[doi:10.13912/j.cnki.chqm.2023.30.11.04 ]
 ZOU Rong,HE Jing,WANG Xiaoqi.The Relationship Between Doctor-Patient Relationship and Job Burnout in a Traditional Chinese Medicine Hospital in Beijing[J].Chinese Health Quality Management,2023,30(05):015.[doi:10.13912/j.cnki.chqm.2023.30.11.04 ]
[6]阮智慧 朱欣叶 卓扬凯 时孝春 钱爱兵 张帅.我国中医医院服务效率的空间网络结构与形成机制[J].中国卫生质量管理,2024,31(06):020.[doi:10.13912/j.cnki.chqm.2024.31.6.06]
 RUAN Zhihui,ZHU Xinye,ZHUO Yangkai.Space Network Structure and Formation Mechanism of Service Efficiency of Traditional Chinese Medicine Hospitals in China[J].Chinese Health Quality Management,2024,31(05):020.[doi:10.13912/j.cnki.chqm.2024.31.6.06]

更新日期/Last Update: 2024-05-15