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人口因素对公共医疗服务效率的影响——区域差异与动态变化
引用本文:张晓岚,刘孟飞,李强.人口因素对公共医疗服务效率的影响——区域差异与动态变化[J].南方人口,2012,27(3):32-42.
作者姓名:张晓岚  刘孟飞  李强
作者单位:1. 西安交通大学,陕西西安710061;上海对外贸易学院会计学院,上海201620
2. 西安交通大学,陕西西安,710061
摘    要:本文基于2002~2010年我国31个省市的面板数据,在DEA—Tobit两阶段分析框架下研究了人口因素对我国区域公共医疗服务效率的动态影响。首先,通过数据包络分析方法(DEA)测算了各省份医疗卫生体系的综合技术效率、纯技术效率和规模技术效率。在此基础上,利用受限因变量Tobit模型对效率值及人口规模、人口密度、受教育程度、城市化率等人口因素之间的关系进行了检验。研究结果表明:人口规模、人口密度与医疗体系的综合服务效率显著正相关,尽管受教育程度和城市化率与综合效率关系并不明显,但是对医疗体系的规模效率和纯技术效率仍然存在显著影响。

关 键 词:人口因素  公共医疗服务  效率  区域差异  动态变化

The Impacts of Demographic Factors on the Efficiency of Public Health Care Services: Regional Differences and Dynamic Changes
ZHANG Xiao-lan , LIU Meng-fei , LI Qiang.The Impacts of Demographic Factors on the Efficiency of Public Health Care Services: Regional Differences and Dynamic Changes[J].South China Population,2012,27(3):32-42.
Authors:ZHANG Xiao-lan  LIU Meng-fei  LI Qiang
Institution:1.School of Finance and Economics,Xi’an Jiaotong University,Xi’ani 710061; 2.Accounting School,Shanghai Institute of Foreign Trade,Shanghai 201620; 3.School of Economics and Management,Northwest Agriculture & Forestry University, Yangling Shanxi 712100
Abstract:Based on the panel data of 31 provinces and metropolises from 2002 to 2010, and under the DEA-Tobit two stage analytical framework, this paper researches the dynamic: effects of demographic factors on China's regional public health service efficiency. Firstly, the technical efficiency, pure technical efficiency and scale efficiency of the health care system in various provinces is estimated basing on the data envelopment analysis (DEA). Then the demographic variables affecting the efficiency such as population size, population density, education and urbanization rate are tested by the method of limited dependent variable Tobit model. The results show that the population size and population density are significantly positive to the overall service efficiency of the health care system while education, urbanization rate shows insignificant correlation with the overall efficiency, but t are significantly correlated to scale efficiency and pure technical efficiency of the health care system.
Keywords:Demographic Factors  Public Health Care Services  Efficiency  Regional Differences
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