韩芸倩，　胡琦，　王立先，　邵雨薇，　王增福，　韩雪梅



我国卫生资源配置效率的省际差异分析

韩芸倩，胡琦，王立先，邵雨薇，王增福，韩雪梅

【摘要】目的分析我国卫生资源的配置情况及效率，提出提高卫生资源配置效率的相关建议,为政府制定卫生经济政策提供相应的决策参考。方法从卫生资源投入与产出的角度，运用因子分析与聚类分析法测算2010年我国31个省市卫生资源配置效率。结果全国31个省市中,20个省市卫生资源配置总量低于全国平均水平,19个省市卫生资源配置效率低于全国平均水平，只有不到30%的省市综合得分优于全国平均水平。结论我国各省市卫生资源的配置总量与各地区经济发展情况基本一致,卫生资源配置效率整体情况堪忧，部分经济发展好、卫生资源配置较好的地区，其卫生资源配置效率反而越差。建议从顶层设计上完善区域卫生规划，对经济欠发达地区给予相应的政策倾斜，在政府调控的基础上适当加强市场调节。

【关键词】卫生资源配置效率；省际差异；因子分析；聚类分析

Analysis of the Inter-provincial Differences of the Health Resource Allocation Efficiency in China

HAN Yunqian, HU Qi, HAN Xuemei, et al.CollegeofPublicHealth,LanzhouUniversity,Lanzhou, 730000,China

【Abstract】ObjectivesTo analyze the situation and the efficiency of health resources allocation in China and propose related suggestions to enhance the efficiency of the health resources allocation. MethodsFrom the perspective of input and output of health resources, factor analysis and clustering analysis method was used to measure the efficiency of health resource allocation in 31 provinces of China in 2010.ResultsThe total quantities of health resources allocation of 20 provinces were lower than the national average level. The efficient of health resource allocation of 19 provinces were lower than the national average level. The overall scores of less than 30% of the provinces were better than the national average level.Conclusions The regional economic development is in accord with the total quantities of the health resources allocation. The overall situations of the health resources allocation efficiency are worrying. The efficient of health resource allocation is inefficiency in some developed areas where the health resource allocation is better.

【Key words】Health resource allocation;Provincial differences;Factor analysis;Cluster analysis

卫生服务的市场环境经常大量出现市场失灵的现象，不可能仅仅依靠市场机制纠正资源配置无效率状态，实现帕累托最优；而要发挥卫生资源的效益，必须实现卫生资源的合理配置，这就需要市场和政府的双重作用。卫生资源优化配置是一项复杂的系统工程，如何使卫生资源的分配产生最佳的功能与效益，其涉及面非常广。我国许多学者对卫生资源的配置效率进行了研究。……