■提高初级卫生保健服务的效率对于像中国这样人口众多的发展中国家至关重要。本研究对中国初级卫生保健服务的效率和空间分布进行了系统分析。它阐明了效率的基本景观和区域差异,从而为提高服务效率和促进区域协调发展提供科学依据。
■采用三阶段DEA-Malmquist模型评估2012年至2020年中国大陆31个省级单位的基层医疗服务效率。此外,它使用Moran指数检验了效率分布的空间相关性。
■中国的初级卫生保健服务的效率总体上是次优的,并且有明显的下降趋势,突出了纯技术效率和规模效率的显著提高潜力。各省之间存在明显的效率差距,然而,正的空间相关性是明显的。区域,效率排序为东>中>西。人均GDP和人口密度等因素对效率提升有积极影响,而城市化水平和政府卫生支出似乎有不利影响。
■三阶段DEA-Malmquist模型和Moran指数的应用不仅扩展了研究初级卫生保健服务效率的方法框架,而且为提高初级卫生保健效率提供了科学有价值的见解。中国和其他发展中国家的服务。
UNASSIGNED: Enhancing the efficiency of primary healthcare services is essential for a populous and developing nation like
China. This study offers a systematic analysis of the efficiency and spatial distribution of primary healthcare services in
China. It elucidates the fundamental landscape and regional variances in efficiency, thereby furnishing a scientific foundation for enhancing service efficiency and fostering coordinated regional development.
UNASSIGNED: Employs a three-stage DEA-Malmquist model to assess the efficiency of primary healthcare services across 31 provincial units in mainland
China from 2012 to 2020. Additionally, it examines the spatial correlation of efficiency distribution using the Moran Index.
UNASSIGNED: The efficiency of primary healthcare services in
China is generally suboptimal with a noticeable declining trend, highlighting significant potential for improvement in both pure technical efficiency and scale efficiency. There is a pronounced efficiency gap among provinces, yet a positive spatial correlation is evident. Regionally, efficiency ranks in the order of East > Central > West. Factors such as GDP per capita and population density positively influence efficiency enhancements, while urbanization levels and government health expenditures appear to have a detrimental impact.
UNASSIGNED: The application of the three-stage DEA-Malmquist model and the Moran Index not only expands the methodological framework for researching primary healthcare service efficiency but also provides scientifically valuable insights for enhancing the efficiency of primary healthcare services in
China and other developing nations.