地理科学 ›› 2020, Vol. 40 ›› Issue (9): 1429-1438.doi: 10.13249/j.cnki.sgs.2020.09.004

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长三角医疗卫生支出效率的时空演化研究

俞佳立(), 杨上广()   

  1. 华东理工大学商学院,上海 200237
  • 收稿日期:2019-08-23 出版日期:2020-09-10 发布日期:2020-12-05
  • 通讯作者: 杨上广 E-mail:jialiyu92@126.com;ysg117@163.com
  • 作者简介:俞佳立(1992-),男,江苏南通人,博士研究生,主要研究方向为区域经济、卫生经济。E-mail: jialiyu92@126.com
  • 基金资助:
    国家自然科学基金项目(71874054)、国家社会科学基金项目(15BRK039)、上海市教育委员会人文社科重大项目(2017-01-07-00-02-E00008)资助

Spatial-Temporal Evolution of Health Expenditure Efficiency in the Yangtze River Delta

Yu Jiali(), Yang Shangguang()   

  1. Business School, East China University of Science and Technology, Shanghai 200237, China
  • Received:2019-08-23 Online:2020-09-10 Published:2020-12-05
  • Contact: Yang Shangguang E-mail:jialiyu92@126.com;ysg117@163.com
  • Supported by:
    National Natural Science Foundation of China (71874054), National Social Science Foundation of China (15BRK039), Key Humanities and Social Sciences Projects of Shanghai Education Commission (2017-01-07-00-02-E00008).

摘要:

运用基尼系数法对2007—2016年长三角地区41个城市每万人医院和卫生院个数、每万人床位数、每万人医生数及人均医疗卫生支出的差距进行测定;同时运用数据包络分析方法和Malmquist生产率指数模型对医疗卫生支出的综合效率及全要素生产率指数进行研究,并运用空间自相关模型分析效率的时空演化。研究表明:长三角各市医疗卫生行业各项指标差距总体呈现缩小态势,且不同省份之间仍有一定差异;2007—2016年长三角各市医疗卫生支出综合效率均值为0.720,效率不高,区域内各城市之间的综合效率差异明显,传统的经济强市并非是效率高值的集聚区域,高?高、低?低效率的集聚仅表现在初始年份,后期集聚效应则明显减弱;平均全要素生产率指数为0.842,生产率年均下降15.8%,主要是由技术进步的下降所致,不同城市间全要素生产率指数表现出不同特征,整体呈上升趋势,且空间集聚效应在减弱。

关键词: 卫生支出, 效率, 时空演化, 长三角

Abstract:

This article uses the Gini coefficient method to study the gap of the number of hospitals, health centers, the number of beds and the number of doctors per 10 000 persons in 41 cities of the Yangtze River Delta from 2007 to 2016 it also discusses the differentiation of the per capita health expenditure. At the same time, using data envelopment analysis method and the Malmquist productivity index model study the comprehensive efficiency and the total factor productivity index of health expenditure, and it also uses spatial autocorrelation model to analyze the Spatio-temporal evolution of efficiency. The research shows that: 1) The gap of indicators in the medical and health industry show a narrow trend in cities of the Yangtze River Delta, and that there are still some differences between different provinces. 2) The average of comprehensive efficiency in health expenditure is 0.720 which is not high from 2007 to 2016 in the Yangtze River Delta. The differences of the comprehensive efficiency among cities in the region are obvious, however the traditional developed cities are not high-efficiency agglomeratic areas. The agglomeration of high-high and low-low efficiency reflects in the initial year only, at the same time, the agglomeration effect weakens in the later period obviously. 3) The average of total factor productivity index is 0.842 which is drop with 15.8% annually. The phenomenon caused by the decline of technological progress mainly. The total factor productivity index shows different characteristics among different cities, the trend is rising overall meanwhile, the effect of spatial agglomeration weakens at the same time.

Key words: health expenditure, efficiency, spatial and temporal evolution, the Yangtze River Delta

中图分类号: 

  • F812.4