引用本文:牛利娜,刘智勇.粤港澳大湾区卫生支出效率及其影响因素实证分析[J].中华医学图书情报杂志,2019,28(8):47-52.
粤港澳大湾区卫生支出效率及其影响因素实证分析
Health expenditure efficiency in Guangdong-Hong Kong-Marco Greater Bay Area and its influence factors
DOI:10.3969/j.issn.1671-3982.2019.08.007
中文关键词:  粤港澳大湾区  卫生支出效率  DEA-Tobit  影响因素
英文关键词:Guangdong-Hong Kong-Marco Greater Bay Area  Health expenditure efficiency  DEA-Tohit analysis  Influence factors
基金项目:
作者单位
牛利娜 华中科技大学同济医学院湖北 武汉 430030 
刘智勇 华中科技大学同济医学院湖北 武汉 430030 
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中文摘要:
      目的:通过测算粤港澳大湾区卫生支出效率,评价其卫生支出综合绩效,并从经济、人口、政策、教育4个维度考察其对政府卫生支出效率的影响。方法:基于2010-2017年大湾区各地区面板数据,采用DEA-Tobit两步法对大湾区卫生支出效率及其影响因素进行实证检验。结果:2010-2017年间大湾区大部分地区卫生支出效率未达到DEA有效,人均GDP、城镇化水平与人口密度是卫生支出效率的重要影响因素。结论:粤港澳大湾区应进一步优化支出结构,培养创新人才,加强政府监督,促进大湾区医卫人员与患者间的沟通,真正打造粤港澳大湾区卫生共同体。
英文摘要:
      Objective To assess the overall health expenditure efficiency in Guangdong-Hong Kong-Marco Greater Bay Area by estimating its health expenditure efficiency and to investigate the health expenditure efficiency of their governments. Methods The health expenditure efficiency in Guangdong- Hong Kong-Marco Greater Bay Area and its influence factors were analyzed by data envelopment analysis (DEA) and Tohit analysis respectively based on the panel data in different regions of Guangdong-Hong Kong-Marco Greater Bay Area in 2010-2017. Results DEA analysis showed that the health expenditure efficiency in most regions of Guangdong-Hong Kong-Marco Greater Bay Area did not reach its expected value, and per capita GDP, urbanization level, population density were the influence factors of health expenditure efficiency. Conclusion Guangdong-Hong Kong-Marco Greater Bay Area should be constructed into a real health community by optimizing its health expenditure structure, training its innovative professionals, strengthening its government supervision and promoting the communications of medical and health professionals with patients.
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