| 引用本文: |
毛宇凡, 周美, 周良荣.紧密型县域医共体基层医疗机构中医药资源运行效率评价研究[J].湖南中医药大学学报,2025,45(11):2188-2195[点击复制] |
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| 紧密型县域医共体基层医疗机构中医药资源运行效率评价研究 |
| 毛宇凡,周美,周良荣 |
| (湖南中医药大学人文与管理学院, 湖南 长沙 410208) |
| 摘要: |
| 目的 对紧密型县域医疗卫生共同体实施前后基层医疗卫生机构的中医药卫生资源运行效率进行分析，为进一步提高紧密型县域医疗卫生共同体中医药服务效率提供参考。方法 基于样本县所属市级的卫生健康委员会组织相关医疗机构填报数据并核对，采用数据包络分析模型和Malmquist指数模型，从静态和动态两个方面分析其中医药卫生资源运行效率。结果 2018—2024年，该县基层医疗卫生机构中医药资源的综合效率均值为0.704，纯技术效率均值为0.825，规模效率均值为0.853；全要素生产率变化指数上升38.4%，技术效率变化指数上升21.2%，技术进步变化指数上升14.2%。结论 该县基层医疗卫生机构中医药资源运行效率呈上升趋势，技术进步是影响医共体基层医疗机构中医药资源运行效率的主要因素。建议医疗卫生共同体建设应从优化投入结构、强化绩效激励、建立常态化技术传导机制3个方面协同发力，巩固技术进步优势，持续提升基层医疗机构中医药资源运行效率。 |
| 关键词: 紧密型县域医疗卫生共同体 乡镇卫生院 中医药资源 运行效率 数据包络分析 Malmquist指数 |
| DOI：10.3969/j.issn.1674-070X.2025.11.023 |
| 投稿时间：2025-09-24 |
| 基金项目:湖南省医疗保障研究会年度课题(2024A06); 湖南省卫生健康委员会重大资助课题(2024WTA01)。 |
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| Evaluation of the operational efficiency of TCM resources in primary medical institutions of closely-knit county-level medical community |
| MAO Yufan, ZHOU Mei, ZHOU Liangrong |
| (School of Humanities and Management, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Objective To analyse the operation efficiency of TCM health resources in primary medical institutions before and after the implementation of the closely-knit county-level medical community, thereby providing references for further improving the efficiency of TCM services within such communities. Methods Based on data collected and verification conducted by relevant medical institutions organized by the municipal health commission to which the sample counties belong, this study employs the data envelopment analysis model and the Malmquist index model to analyze the operational efficiency of TCM health resources from both static and dynamic perspectives. Results From 2018 to 2024, the average comprehensive efficiency of TCM resources in the primary medical institutions of the sample county was 0.704, with pure technical and scale efficiency averaging 0.825 and 0.853 respectively. The total factor productivity change index increased by 38.4%, the technical efficiency change index increased by21.2%, and the technological progress change index increased by 14.2%. Conclusion The operational efficiency of TCM resources in this county’s primary medical institutions exhibited an upward trend. Technological progress is the main factor affecting the operational efficiency of TCM resources in primary medical institutions of close-knit county-level medical communities. It is suggested that the construction of this medical community should prioritize a synergistic approach from three aspects: optimizing the investment structure, strengthening performance incentives, and establishing a regular technical transmission mechanism, aiming to consolidate the advantages of technological progress and continuously improve the operational efficiency of TCM resources in primary medical institutions. |
| Key words: closely-knit county-level medical community township health centers TCM resources operational efficiency data envelopment analysis Malmquist index |
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